Shadel, Jill L

Shadel, Jill L is an sole proprietor health care provider with primary practice located at 3313 Shadowood Dr , Crystal Lake IL 60012-1337. 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. Shadel, Jill L can be contacted via phone (815) 353-9625.

Contact Information

Primary practice address
3313 Shadowood Dr Crystal Lake IL 60012-1337
Phone: (815) 353-9625
Fax: (815) 477-4173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X JS75061000P Illinois

Profile Details

NPI number 1831303825
LBN Legal business name Shadel, Jill L
Credentials CDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
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.

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