NPI 1023821964
Shandrayea Burns
Practice location
- Address
- 11560 S Kedzie Ave STE 200, Merrionette Park, IL 60803-4517
- Phone
- (708) 974-5147
- Fax
- (708) 974-2498
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1023821964
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2025
- Record last updated
- 27 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.