Vendor Number: 12483

Short Name: SHAKER CLINIC

Long Name 1: SHAKER CLINIC LLC
Long Name 2:

Address Line 1: DEPT 003
Address Line 2: PO BOX 4577
City: CAROL STREAM
Zip Code: 60197

Contact: ROXANNE JIVIDEN
Phone: 2167514762

VENDR Record Last Updated: 04/27/2011
This HTML Page Produced on: 19DEC2015

Associated Provider(s):

(12483) SHAKER CLINIC LLC
(12484) OHIO CLINIC FOR PSYCHIATRY

Updated: 19DEC2015