Malecha, Shane

Malecha, Shane is an individual health care provider with primary practice located at 1514 Somerset Dr , Beecher IL 60401-3436. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is his primary health care specialty. Malecha, Shane can be contacted via phone (779) 771-3322.

Contact Information

Primary practice address
1514 Somerset Dr Beecher IL 60401-3436
Phone: (779) 771-3322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7346 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 070.015555 Illinois

Profile Details

NPI number 1114049111
LBN Legal business name Malecha, Shane
Credentials PT, DPT, MS, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 6th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114049111 NPPES
Illinois Other 70015555 PHYSICAL THERAPY LICENSE
Illinois Other 7346 PHYSICAL THERAPY LICENSE

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