SHANNON E CONDON

EVANSTON, IL
NPI1508945924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IL  056-004432)
Enumeration Date2006-11-05
Last Update Date2007-07-08
Business Address
-- SHANNON E CONDON OTR
524 BARTON AVE
EVANSTON, IL 60202-2711
Phone number: 224-388-0778
Mailing Address
-- SHANNON E CONDON OTR
524 BARTON AVE
EVANSTON, IL 60202-2711
Phone number: 224-388-0778