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1992879423
SHANNON M DONOHUE
CHICAGO, IL
NPI
1992879423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: IL 0560003969)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mrs. SHANNON M DONOHUE
5669 N NORTHWEST HWY
CHICAGO, IL 60646-6153
Phone number: 773-467-5669
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Mailing Address
Mrs. SHANNON M DONOHUE
1624 W JUNEWAY TER # 3W
CHICAGO, IL 60626-1106
Phone number:
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