Shannon L Tully is a Pediatrics in Glenview, Illinois. Shannon L Tully practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon L Tully is 1851594717. The last update date is 2007-07-08.
Shannon L Tully's current location address is 1308 Waukegan Rd, Glenview, Illinois. You can contact this provider via phone number 8474864140 and fax number 8475894140. The mailing address for Shannon L Tully is 1308 Waukegan Rd, Glenview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Tully |
|---|---|
| Address | 1308 Waukegan Rd, Glenview, Illinois |
| Phone Number | 8474864140 |
| Fax Number | 8475894140 |
| Sole Proprietor | N |
| Credentials | D.P.T. |
NPI Number Detail
| NPI Number | 1851594717 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1308 Waukegan Rd |
|---|---|
| City | Glenview |
| State | Illinois (IL) |
| Post Code | 600253070 |
| Phone Number | 8474864140 |
| Fax Number | 8475894140 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 70014569 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identifier code issued to Shannon L Tully by the Centers for Medicare & Medicaid Services?
The Shannon L Tully has been assigned the NPI (National Provider Identifier) 1851594717 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shannon L Tully is physically located?
The Shannon L Tully is physically situated at the following address: 1308 Waukegan Rd, Glenview, IL, 600253070.
What is Shannon L Tully's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon L Tully is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851594717 to Shannon L Tully?
The Shannon L Tully received its 1851594717 assignment from the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date were the Shannon L Tully's details last updated?
The information pertaining to the Shannon L Tully, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1376546309
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