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Search › Illinois › Student in an Organized Health Care Education/Training Program

Davis Shannon, MSW

NPI 1265985170 · on the registry since 2016

Practice

Address
702 W Chestnut St
Bloomington, IL 61701
Phone
(217) 649-5765
Organisation at this address
Genoa Healthcare Llc
Chestnut Health Systems Inc
Chestnut Health Systems, Inc
Chesntut Health Systems, Inc.
Chesntut Health Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-17

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