Ruby, Shannon

Ruby, Shannon is an individual health care provider with primary practice located at 1976 Tower Dr , Glenview IL 60026-7801. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Ruby, Shannon can be contacted via phone (847) 730-3276.

Contact Information

Primary practice address
1976 Tower Dr Glenview IL 60026-7801
Fax: (847) 730-3972
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009967 Illinois

Profile Details

NPI number 1356350672
LBN Legal business name Ruby, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 10th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356350672 NPPES
Illinois Other 038009967 SATE LICENSE

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