Individual
DR. SHANNON L TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
(847) 589-4140
Mailing address
1308 WAUKEGAN RD, SUITE 103, GLENVIEW, IL 60025-3070
(847) 486-4140
(847) 589-4140
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
70014569
IL
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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