MS. HEATHER SHANNON


Address: 1200 N Ashland Ave, 3rd Floor, Chicago, IL 60622-2259
Phone: 7738502295

MS. HEATHER SHANNON (NPI# 1164721239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164721239
Entity Type Individual
Full Name MS. HEATHER SHANNON
Credential LCPC
Practice Address 1200 N Ashland Ave
3rd Floor
Chicago
IL 60622-2259
Practice Telephone 7738502295
Mailing Telephone 7738502295
Enumeration Date 2011-03-15
Last Update Date 2011-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180007881 IL Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
178005052 IL Behavioral Health & Social Service Providers

Other Providers HEATHER SHANNON

NPI Name Taxonomy Address Enumeration
1790775005 Heather Marian Shannon Nurse Practitioner 522 S 4th St Ste 500, Fulton, NY 13069 2005-10-27
1295384055 Heather Elyse Shannon Physical Therapist 11330 Maple Brook Dr, Louisville, KY 40241-2080 2019-09-05
1720596315 Heather Parkey Shannon Specialist/Technologist 6301 Gaston Ave Ste 750, Dallas, TX 75214-3922 2018-01-17
1669678546 Heather Harmon Shannon Nurse Practitioner 80 Health Park Dr Ste 100, Louisville, CO 80027-4644 2007-06-26

Office Location

Street Address 1200 N ASHLAND AVE
3RD FLOOR
City CHICAGO
State IL
Zip Code 60622-2259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053590356 Erin Ryan Social Worker 1200 N Ashland Ave, Suites 400 A & B, Chicago, IL 60622-2259 2007-11-02
1871025064 Cherish Hamilton-tekautz Social Worker 1200 N Ashland Ave, Chicago, IL 60622-2259 2017-03-28
1811435985 Lisa Egnatios Counselor 1200 N Ashland Ave, Suite 401, Chicago, IL 60622-2259 2017-02-08
1578911475 Katy Groves, PC Social Worker 1200 N Ashland Ave, Suite 504, Chicago, IL 60622-2259 2016-06-01
1003277120 Anneliese Michelle Kranz Counselor 1200 N Ashland Ave, Suites 401 A-c, Chicago, IL 60622-2259 2016-03-17
1487024139 Branch Counseling and Wellness PC Social Worker 1200 N Ashland Ave, Suite 205, Chicago, IL 60622-2259 2015-10-06
1316340995 Emily Woods Counselor 1200 N Ashland Ave, Suites 400 A&b, Chicago, IL 60622-2259 2014-09-26
1730500455 Katie Kelley Schneider Counselor 1200 N Ashland Ave, Chicago, IL 60622-2259 2013-12-23
1861733156 Aaron David Schwartz Social Worker 1200 N Ashland Ave, Chicago, IL 60622-2259 2013-03-11
1437406592 Veronique Crim Social Worker 1200 N Ashland Ave, Chicago, IL 60622-2259 2012-08-08
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1073076105 Nichole Galullo Social Worker 1431 N Claremont 2nd Floor, Chicago, IL 60622 2019-04-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60622

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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