Individual
ROSELYN SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 NANTI ST, PARK FOREST, IL 60466-2529
(708) 743-7011
(708) 506-3900
Mailing address
153 NANTI ST, PARK FOREST, IL 60466-2529
(708) 743-7011
(708) 506-3900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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