Michael Sheppard

NPI #1689057051 in Roselle, Illinois

Provider Information

NPI Number: 1689057051
Entity Type: Individual
Name: Michael Sheppard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 3, 2015
Last Updated: Jul 3, 2015

Practice Location

Address: 23W632 MAPLE AVE
City: Roselle
State: Illinois
ZIP Code: 60172-2131
Phone: (630) 501-8495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary
Community Health Worker	172V00000X

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