SHANNON HOUDA

WILLOWBROOK, IL
NPI1811322027
Former NameSHANNON TAIT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209010332)
Enumeration Date2013-09-06
Last Update Date2019-01-30
Business Address
SHANNON HOUDA
7601 KINGERY HWY
WILLOWBROOK, IL 60527-5538
Phone number: 866-389-2727
Mailing Address
SHANNON HOUDA
7601 KINGERY HWY
WILLOWBROOK, IL 60527-5538
Phone number: 866-389-2727
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