Individual
MS. SHAINA M BURGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
19138 W LAKE VIEW AVE, MUNDELEIN, IL 60060-3520
(217) 304-6069
Mailing address
19138 W LAKE VIEW AVE, MUNDELEIN, IL 60060-3520
(217) 304-6069
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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