Roselyn Shine
NPI #1962888511 in Park Forest, Illinois
Provider Information
- NPI Number
- 1962888511
- Entity Type
- Individual
- Name
- Roselyn Shine
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 5, 2015
- Last Updated
- Aug 5, 2015
Practice Location
- Address
- 153 NANTI ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2529
- Phone
- (708) 743-7011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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