Shannon Michelsen, | |
12450 Regency Pkwy Ste 289, Huntley, IL 60142-5804 | |
(847) 669-5185 | |
Not Available |
Full Name | Shannon Michelsen |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 12450 Regency Pkwy Ste 289, Huntley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336866151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056.010424 (Illinois) | Primary |
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
Mailing Address | Practice Location Address |
---|---|
Shannon Michelsen, 10509 Fair Ln, Huntley, IL 60142-9766 Ph: (815) 276-8372 | Shannon Michelsen, 12450 Regency Pkwy Ste 289, Huntley, IL 60142-5804 Ph: (847) 669-5185 |
Sarah Parker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9792 Sheldon Rd, Huntley, IL 60142 Phone: 641-521-7054 | |
Amy O'leary, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11704 Woodcreek E, #c, Huntley, IL 60142 Phone: 847-515-2596 | |
Mrs. Kathryn Michele Murphy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10714 Bayhill Court, Huntley, IL 60142 Phone: 847-515-4122 |