Shannon L. Tetteh

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227012219 Issued in IL

Practice address

1509 E Marquette Rd Apt 1W
Chicago, IL 60637-6470

Phone

(312) 927-0606

NPI assigned

Mar 20, 2021

Last updated

Mar 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1538745534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E 53RD ST # 297",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154573",
            "telephone_number": "312-927-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E MARQUETTE RD APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606376470",
            "telephone_number": "312-927-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "SHANNON",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227012219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Test Liberty Inc
• Fernando D Testai, MD, PHD
• Semaj Nikia Testamark, MD
• Caroline J Teter, PA-C
• Elizabeth S Tetteh, M.D.
• Amanda Beth Teuscher, AU.D.
• Amy Tevault, MA, LPC
• Kelsey Page Tevik, LCSW
• Tevyn Paige, LLC
• Arti Deepa Tewari, MD

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.