Individual
SHELLEY MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 E JACKSON ST, VILLA PARK, IL 60181-3252
(630) 915-9123
Mailing address
121 E JACKSON ST, VILLA PARK, IL 60181-3252
(163) 091-5912
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-306335
IL
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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