Shannon, Crystal A

Shannon, Crystal A is an individual health care provider with primary practice located at 320 Busse Hwy , Park Ridge IL 60068-3251. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Shannon, Crystal A can be contacted via phone (847) 268-0800.

Contact Information

Primary practice address
320 Busse Hwy Park Ridge IL 60068-3251
Phone: (847) 268-0800
Fax: (847) 268-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.025693 Illinois

Profile Details

NPI number 1306039508
LBN Legal business name Shannon, Crystal A
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Jun 3rd, 2021 - about 3 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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