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1356852297
SHANNON MARIE DOHERTY
CHICAGO, IL
NPI
1356852297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056012192)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
SHANNON MARIE DOHERTY OTR/L
355 E ERIE ST
CHICAGO, IL 60611-3167
Phone number: 312-238-1000
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Mailing Address
SHANNON MARIE DOHERTY OTR/L
355 E ERIE ST
CHICAGO, IL 60611-3167
Phone number: 312-238-1000
Copy
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