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Search › Illinois › 1041C0700X

Shannon Maximov, LCSW

NPI 1245378835 · on the registry since 2007

Practice

Address
900 N Westmoreland Rd Ste 114
Lake Forest, IL 60045
Phone
(312) 695-7542
Fax
(312) 694-2535
Organisation at this address
James E Jupa Md Sc
Pediatrust, L.L.C.
Bormes Urology, S.C.
Envision Eye Center Ltd
North Shore Rheumatology
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois