Clark, Shannon

Clark, Shannon is an individual health care provider with primary practice located at 7440 W College Dr Suite 200, Palos Heights IL 60463-1375. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Shannon can be contacted via phone (708) 448-7423.

Contact Information

Primary practice address
7440 W College Dr Suite 200 Palos Heights IL 60463-1375
Phone: (708) 448-7423
Fax: (708) 448-7843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1417079104
LBN Legal business name Clark, Shannon
Credentials B.S
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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