| Shannon Mannix Services Inc | |
|
15915 S Crystal Creek Dr Ste E Homer Glen IL 60491-9381 | |
| (708) 557-5078 | |
| Not Available |
| Full Name | Shannon Mannix Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15915 S Crystal Creek Dr Ste E, Homer Glen, Illinois |
| Authorized Official Name and Position | Shannon M Mannix (OWNER LICENCED SOCIAL WORKER) |
| Authorized Official Contact | 7085575078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Mannix Services Inc 17626 S Gilbert Dr Lockport IL 60441-1100 Ph: (708) 557-5078 | Shannon Mannix Services Inc 15915 S Crystal Creek Dr Ste E Homer Glen IL 60491-9381 Ph: (708) 557-5078 |
| NPI Number | 1063029874 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Certification Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063029874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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