Search › Illinois › 374700000X
Shannon Graue
NPI 1306662606 · on the registry since 2024
Practice
- Address
- 9505 142nd St Ste 300
Orland Park, IL 60462 - Phone
- (859) 693-0045
- Organisation at this address
- Aesthetics Collection Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 374700000X
374700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-02
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