SearchIllinois253Z00000X

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