Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ELLISON, MED
Active Sole ProprietorSHANNON ELLISON, MED is a Developmental Therapist healthcare provider located in COUNTRY CLUB HILLS, Illinois. NPI 1255815791 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · COUNTRY CLUB HILLS, IL
Registration Details
- NPI Number
- 1255815791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2018 (7.8639083583085 yrs)
- Last Updated
- Sep 20, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3818 169TH STCOUNTRY CLUB HILLS, IL, 604782138Browse IL providers · Browse ZIP 60478
- Phone
- 3174134275
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in COUNTRY CLUB HILLS, IL
| Name | Credential | NPI |
|---|---|---|
| MS. DAVETTE M CLARK | — | 1750417614 |
| MISS VALERIE L WILSON | MA | 1144359886 |
| MRS. LYNNETTE DEGRAFFENREID | — | 1396868162 |
| MS. GERALYN L JOHNSON | — | 1104040849 |
| MS. DEBRA G. SIDDALL | DEVELOPMENTAL THERAP | 1619195062 |
| MRS. STACEY RICHARDSON | DTA | 1740498930 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.