Shallise D Shannon
Shallise D Shannon is a Developmental Therapist in Lansing, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2026
Practice location Address checks out
3044 183rd StLansing, IL 60438-3010
Phone: (708) 632-6863
Fax: (773) 783-2357
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X (IL) |
|---|
Record details
| NPI number | 1558217752 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2026 |
| Last updated in NPPES | May 8, 2026 |
| Certification date | May 8, 2026 |
| Mailing address | 3044 183rd St, Lansing, IL 60438-3010 |
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