Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON DANIELLE FRY
ActiveSHANNON DANIELLE FRY is a Physical Medicine & Rehabilitation healthcare provider located in ERIE, Illinois. NPI 1982335022 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · ERIE, IL
Registration Details
- NPI Number
- 1982335022
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2022 (4.139682718203 yrs)
- Last Updated
- Dec 30, 2024
- Licenses
-
209.025648 (IL)A169408 (IA)209.025648 (IL)
Practice Information
- Address
-
5789 CORDOVA RDERIE, IL, 612509740Browse IL providers · Browse ZIP 61250
- Phone
- 8632212351
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Physical Medicine & Rehabilitation
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.