DR. SHANNON L TULLY (NPI# 1851594717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851594717 |
| Entity Type | Individual |
| Full Name | DR. SHANNON L TULLY |
| Credential | D.P.T. |
| Practice Address |
1308 Waukegan Rd Suite 103 Glenview IL 60025-3070 |
| Practice Telephone | 8474864140 |
| Practice Fax Number | 8475894140 |
| Mailing Telephone | 8474864140 |
| Mailing Fax Number | 8475894140 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
70014569 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1308 WAUKEGAN RD SUITE 103 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510812 | Jasmine Chao | Family Medicine | 1308 Waukegan Rd, Suite 202, Glenview, IL 60025-3070 | 2006-05-31 |
| 1801322532 | Irene Joo | Occupational Therapist | 1308 Waukegan Rd, 103, Glenview, IL 60025-3070 | 2017-05-01 |
| 1457712754 | Safa Fatima Muntajibuddin | Occupational Therapist | 1308 Waukegan Rd, Suite 103, Glenview, IL 60025-3070 | 2016-03-14 |
| 1326415886 | Stephanie Sorrentino | Speech-Language Pathologist | 1308 Waukegan Rd, Suite 103, Glenview, IL 60025-3070 | 2015-08-31 |
| 1235514985 | Mary Roberta Seal | Social Worker | 1308 Waukegan Rd, Glenview, IL 60025-3070 | 2015-07-23 |
| 1891190914 | Shelly Sears | Occupational Therapist | 1308 Waukegan Rd, Glenview, IL 60025-3070 | 2014-10-31 |
| 1144621541 | Maura Terese Tulig | Speech-Language Pathologist | 1308 Waukegan Rd, Glenview, IL 60025-3070 | 2014-09-04 |
| 1942617584 | Rachel Weinberger | Behavioral Analyst | 1308 Waukegan Rd, Suite 103, Glenview, IL 60025 | 2014-07-15 |
| 1891100749 | Katherine Elizabeth Devore | Speech-Language Pathologist | 1308 Waukegan Rd, Glenview, IL 60025-3070 | 2014-06-29 |
| 1033524061 | Laura Kate Manson | Occupational Therapist | 1308 Waukegan Rd, Suite 103, Glenview, IL 60025-3070 | 2014-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458682 | Alexandra Manning | Physical Therapist | 41 Waukegan Rd, Glenview, IL 60025-5154 | 2020-08-19 |
| 1437682903 | Beth Anne Solem Pediatric Therapy Inc. | Physical Therapist | 2112 Henley St, Glenview, IL 60025-4160 | 2017-04-11 |
| 1720533367 | Little Steps Pediatric Physical Therapy, PC | Physical Therapist | 41 Waukegan Rd, Glenview, IL 60025-5154 | 2016-08-24 |
| 1154796670 | Anita Shah | Physical Therapist | 2591 Compass Rd, Ste 100, Glenview, IL 60026-8043 | 2015-12-09 |
| 1013152628 | Jennifer S Cohen | Physical Therapist | 2591 Compass Rd, Suite 100, Glenview, IL 60026-8043 | 2008-12-10 |
| 1740484765 | Shruti Joshi | Physical Therapist | 2591 Compass Rd, Suite 100, Glenview, IL 60026-8043 | 2007-06-13 |
| 1255543351 | Bridget Ann Walker | Physical Therapist | 2591 Compass Rd, Suite 100, Glenview, IL 60026-8043 | 2007-05-03 |
| 1750408332 | Maria Culhane | Physical Therapist | 2591 Compass Rd, Suite 100, Glenview, IL 60026-8043 | 2007-03-26 |
| 1467578054 | Yelena K Adanin | Physical Therapist | 2516 Waukegan Rd, Ste 353, Glenview, IL 60025-1774 | 2007-03-22 |
| 1326163197 | Linda Rooke | Physical Therapist | 2591 Compass Rd, Suite 100, Glenview, IL 60026-8043 | 2007-03-20 |
| Find all providers in GLENVIEW | ||||
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| 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.