Individual
KIRA SHAMAEV SHIFRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1190 OLD MCHENRY RD, LONG GROVE, IL 60047-5088
(847) 613-4255
Mailing address
2014 TREVINO TER, VERNON HILLS, IL 60061-4541
(847) 877-9886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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