Shannon Graue
Shannon Graue is a Technician in Orland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
9505 142nd St Ste 300Orland Park, IL 60462-4294
Phone: (859) 693-0045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X · Licence 131.011722 (IL) |
|---|
Record details
| NPI number | 1306662606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 2, 2024 |
| Last updated in NPPES | December 2, 2024 |
| Certification date | December 2, 2024 |
| Mailing address | 9125 S 54th Ave, Oak Lawn, IL 60453-1601 |