Individual
MRS. SHANNON M DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
(773) 467-5669
Mailing address
1624 W JUNEWAY TER # 3W, CHICAGO, IL 60626-1106
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0560003969
IL
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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