Individual
SHANNON COIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 EMILIE LN, ORLAND PARK, IL 60467-8872
(708) 326-2300
Mailing address
1738 GLENBROOKE LN, NEW LENOX, IL 60451-3778
(708) 476-6213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003653
IL
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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