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Shannon Andersen

Case Manager/Care Coordinator in Wheaton, IL. Individual provider (NPI-1).

NPI number1699358366
StatusActive
Last updated in NPPESApr 30, 2021

Details

NPI
1699358366
Entity type
Individual (NPI-1)
Name
Shannon Andersen
Sex
Female
Sole proprietor
No
Enumeration date
Apr 30, 2021
Certification date
Apr 30, 2021
Last updated
Apr 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Phone 630-682-7400

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

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