Katrina Marie Shannon, is a
Marriage & Family Therapist based in Oakbrook Terrace, Illinois. Katrina Marie Shannon is licensed to practice in Illinois (license number 166.001263) and her current practice location is
2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 216-9104.
NPI number for Katrina Marie Shannon is 1417466012 and her current mailing address is 2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417466012.
Healthcare Provider's Profile
Full Name | Katrina Marie Shannon |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417466012
- Provider Enumeration Date: 09/26/2017
- Last Update Date: 01/22/2024
Medical Identifiers
Medical identifiers for Katrina Marie Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417466012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 166.001263 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Marie Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katrina Marie Shannon, 2 Mid America Plz Ste 110, Oakbrook Terrace, IL 60181-4711 Ph: (630) 216-9104 | Katrina Marie Shannon, 2 Mid America Plz Ste 110, Oakbrook Terrace, IL 60181-4711 Ph: (630) 216-9104 |
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