Mayer, Shelly Renee
Mayer, Shelly Renee is an sole proprietor health care provider with primary practice located at 12059 Venetian Way , Orland Park IL 60467-1023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mayer, Shelly Renee can be contacted via phone (708) 301-7980.Contact Information
Primary practice address
12059 Venetian Way
Orland Park IL 60467-1023
Phone: (708) 301-7980
Fax: (708) 301-7980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | Illinois |
Profile Details
| NPI number | 1528163664 |
|---|---|
| LBN Legal business name | Mayer, Shelly Renee |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528163664 | NPPES |
| Illinois | Other | 9927980 | BC/BS PIN |
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