Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Ellison, MED

Individual provider Developmental Therapist · NPI 1255815791

Shannon Ellison, MED is a Developmental Therapist in Country Club Hills, Illinois. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

3818 169th St
Country Club Hills, IL 60478-2138
Phone: (317) 413-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1255815791
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorYes
NPI enumeratedSeptember 20, 2018
Last updated in NPPESSeptember 20, 2018

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