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Individual

MR. LARRY LON SHOEMAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
(847) 524-3823
Mailing address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
(847) 524-3823

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20080030
IL

Other

Enumeration date
07/27/2012
Last updated
07/27/2012
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