Shane, Jeffrey

Shane, Jeffrey is an sole proprietor health care provider with primary practice located at 4433 W Touhy Ave , Lincolnwood IL 60712-1820. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Shane, Jeffrey can be contacted via phone (847) 568-9642.

Contact Information

Primary practice address
4433 W Touhy Ave Lincolnwood IL 60712-1820
Phone: (847) 568-9642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538915053
LBN Legal business name Shane, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2024
Last updated Apr 25th, 2024 - about 7 months 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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