Maides-Keane, Shirley Allen
Maides-Keane, Shirley Allen is an sole proprietor health care provider with primary practice located at 2625 Butterfield Rd Suite 138 South, Oak Brook IL 60523-1234. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maides-Keane, Shirley Allen can be contacted via phone (630) 990-1919.Contact Information
Primary practice address
2625 Butterfield Rd Suite 138 South
Oak Brook IL 60523-1234
Phone: (630) 990-1919
Fax: (630) 990-3151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1356474928 |
|---|---|
| LBN Legal business name | Maides-Keane, Shirley Allen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356474928 | NPPES |
| Illinois | Other | 0002272088 | BLUE SHIELD PROVIDER # |
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