Shanahan, Amy J

Shanahan, Amy J is an individual health care provider with primary practice located at 15300 West Ave Ste 313 , Palos Heights IL 60463. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shanahan, Amy J can be contacted via phone (708) 923-7878.

Contact Information

Primary practice address
15300 West Ave Ste 313 Palos Heights IL 60463
Phone: (708) 923-7878
Fax: (708) 923-7888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.010542 Illinois

Profile Details

NPI number 1730382268
LBN Legal business name Shanahan, Amy J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Dec 8th, 2021 - 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 1730382268 NPPES
Illinois MEDICAID 349643415001
Illinois Other F400104844

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