Shack, Andrew Vincent
Shack, Andrew Vincent is an sole proprietor health care provider with primary practice located at 1103 Westgate St Suite 200, Oak Park IL 60301-1088. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shack, Andrew Vincent can be contacted via phone (708) 386-8112.Contact Information
Primary practice address
1103 Westgate St Suite 200
Oak Park IL 60301-1088
Phone: (708) 386-8112
Fax: (708) 383-4298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006231 | Illinois |
Profile Details
| NPI number | 1659327229 |
|---|---|
| LBN Legal business name | Shack, Andrew Vincent |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Feb 27th, 2014 - about 10 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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