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Contact Information

CARLY SHANNON
811 EAST CENTRAL ROAD
ARLINGTON HEIGHTS, IL60056
 Phone: 847-956-4079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CARLY SHANNON · (Female)

NPI # 1053794842
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 056.009125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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