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1508693722
SHANNON D NICHOLS
CHICAGO, IL
NPI
1508693722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.016186)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
SHANNON D NICHOLS OTR/L
600 W ROOSEVELT RD STE 2E
CHICAGO, IL 60607-4912
Phone number: 312-588-5050
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Mailing Address
SHANNON D NICHOLS OTR/L
3853 S CALUMET AVE # A
CHICAGO, IL 60653-1706
Phone number: 910-381-3554
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