Individual
SHANNON RAE RAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7041 WILLOW SPRINGS RD STE 101, COUNTRYSIDE, IL 60525-4784
(708) 482-7424
(708) 482-7424
Mailing address
7041 WILLOW SPRINGS RD STE 101, COUNTRYSIDE, IL 60525-4784
(708) 482-7424
(708) 482-7424
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000854
IL
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
06/05/2018
Last updated
06/11/2019
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