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1396246401
SHANNON KATHLEEN MALE
BOURBONNAIS, IL
NPI
1396246401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.016973)
Enumeration Date
2018-02-23
Last Update Date
2022-09-22
Business Address
SHANNON KATHLEEN MALE FNP-BC
200 RIVERSIDE DR
BOURBONNAIS, IL 60914-4689
Phone number: 815-933-9660
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Mailing Address
SHANNON KATHLEEN MALE FNP-BC
350 N WALL ST
KANKAKEE, IL 60901-2901
Phone number: 815-671-6295
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