MICHAEL SHEPPARD

ROSELLE, IL
NPI1689057051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2015-07-03
Last Update Date2015-07-03
Business Address
-- MICHAEL SHEPPARD
23W632 MAPLE AVE
ROSELLE, IL 60172-2131
Phone number: 630-501-8495
Mailing Address
-- MICHAEL SHEPPARD
23W632 MAPLE AVE
ROSELLE, IL 60172-2131
Phone number: 630-501-8495
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