Individual
SHALONDA MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7556 S ESSEX AVE, 3C, CHICAGO, IL 60649-3357
(312) 532-3231
Mailing address
7556 S ESSEX AVE, 3C, CHICAGO, IL 60649-3357
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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