| Doctor Name: | SHANI M DOUGLAS |
| NPI Number: | 1184861742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 070-013962 |
| Business Practice Address: | 16651 Harlem Ave Tinley Park, IL - 604772581 |
| Business Phone Number: | 7084442467 |
| Business Fax Number: | 7084442758 |
| Mailing Address: | 10421 S Wallace St, CHICAGO |
| State: | IL |
| Postal Code: | 606282441 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2009 |
| NPI Last Update Date: | 04/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-013962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |