SearchIllinois122300000X

Shanel Cook

NPI 1861965998 · on the registry since 2019

Practice

Address
4633 175th Pl
Country Club Hills, IL 60478
Phone
(312) 312-3923

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
1223G0001X
Licence states on file
OH, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-05

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