Individual
SHAPPELL WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 MADISON ST, OAK PARK, IL 60302
(708) 369-5596
Mailing address
711 MADISON ST, OAK PARK, IL 60302
(708) 369-5596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013466
IL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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