Ellison, Shadon Michele

Ellison, Shadon Michele is an individual health care provider with primary practice located at 4820 S King Dr Apt. 1S, Chicago IL 60615-1349. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Ellison, Shadon Michele can be contacted via phone (312) 320-2844.

Contact Information

Primary practice address
4820 S King Dr Apt. 1S Chicago IL 60615-1349
Phone: (312) 320-2844
Fax: (708) 529-5868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1528303161
LBN Legal business name Ellison, Shadon Michele
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2012
Last updated Mar 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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