SHAVONNE SAHARA

CHICAGO, IL
NPI1275936494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: IL  258000123)
Enumeration Date2014-10-01
Last Update Date2014-10-01
Business Address
-- SHAVONNE SAHARA
600 W ENGLEWOOD AVE
CHICAGO, IL 60621-2053
Phone number: 773-683-9135
Mailing Address
-- SHAVONNE SAHARA
600 W ENGLEWOOD AVE
CHICAGO, IL 60621-2053
Phone number: 773-683-9135