Katrina Marie Shannon, is a
Marriage & Family Therapist based in Oakbrook Terrace, Illinois. Katrina Marie Shannon is licensed to practice in Illinois (license number 166.001263) and her current practice location is
2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 216-9104.
NPI number for Katrina Marie Shannon is 1417466012 and her current mailing address is 2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417466012.
Healthcare Provider's Profile
| Full Name | Katrina Marie Shannon |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417466012
- Provider Enumeration Date: 09/26/2017
- Last Update Date: 01/22/2024
Medical Identifiers
Medical identifiers for Katrina Marie Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417466012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 166.001263 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Marie Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katrina Marie Shannon, 2 Mid America Plz Ste 110, Oakbrook Terrace, IL 60181-4711 Ph: (630) 216-9104 | Katrina Marie Shannon, 2 Mid America Plz Ste 110, Oakbrook Terrace, IL 60181-4711 Ph: (630) 216-9104 |
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