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Search › Illinois › 390200000X

Davis Shannon, MSW

NPI 1265985170 · on the registry since 2016

Practice

Address
702 W Chestnut St
Bloomington, IL 61701
Phone
(217) 649-5765
Organisation at this address
Genoa Healthcare Llc
Chestnut Health Systems Inc
Chestnut Health Systems, Inc
Chesntut Health Systems, Inc.
Chesntut Health Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois