SHANI M DOUGLAS

TINLEY PARK, IL
NPI1184861742
Former NameSHANI M MCCLELLAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-013962)
Enumeration Date2009-01-19
Last Update Date2009-04-28
Business Address
-- SHANI M DOUGLAS PT, DPT
16651 HARLEM AVE
TINLEY PARK, IL 60477-2581
Phone number: 708-444-2467
Mailing Address
-- SHANI M DOUGLAS PT, DPT
10421 S WALLACE ST
CHICAGO, IL 60628-2441
Phone number: