IndividualActive
Bernice Shelton, D.T.
NPI 1588017115 · Early Intervention Provider Agency · Calumet City, IL
Provider details
- NPI number
- 1588017115
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- D.T.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
450 Prairie Ave
Suite 103
Calumet City, IL 60409-2125
Phone: (773) 339-1867
Fax: (708) 868-1290
Approximate (ZIP-level) locationGet directions
Mailing address
303 Stoney Island Ave
Calumet City, IL 60409-1726
Registry dates
- Enumerated
- 2016-07-19
- Last updated
- 2016-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.