Moonlightwellbeing

LBN: Adam Shafer, P.C.
Moonlightwellbeing is an health care organization with primary practice located at 820 W Jackson Blvd Ste 515 , Chicago IL 60607-3061. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Adam Shafer, P.C. can be contacted via phone (708) 537-9951, or through Shafer, Adam Lloyd via phone (708) 537-9951.

Contact Information

Primary practice address
820 W Jackson Blvd Ste 515 Chicago IL 60607-3061
Phone: (708) 537-9951
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shafer, Adam Lloyd PSY.D.
Phone: (708) 537-9951

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.008760 Illinois

Profile Details

NPI number 1659804003
LBN Legal business name Adam Shafer, P.C.
DBA Doing business as Moonlightwellbeing
Authorized official Shafer, Adam Lloyd PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2017
Last updated Apr 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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