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General NPI Number Information
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NPI Number | 1811322027
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Entity Type | Individual
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Provider Name | SHANNON HOUDA
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Gender | Female
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 7601 KINGERY HWY
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5538
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 KINGERY HWY
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City | WILLOWBROOK
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State | IL
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Zip | 60527-5538
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Country | US
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Telephone | 866-389-2727
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10052937
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209010332
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14252956-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-280203
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 86865
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN5647-0
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License Number State | HI
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025049738
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70066860
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License Number State | WA
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