Search › Illinois › 253Z00000X
Shannon Rapp
NPI 1700378650 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7041 Willow Springs Rd Ste 101
Countryside, IL 60525 - Phone
- (708) 482-7424
- Fax
- (708) 482-7424
- Organisation at this address
- Blue Sky Van Rides Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 343900000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-11
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