Shelby, Diane C

Shelby, Diane C is an sole proprietor health care provider with primary practice located at 6515 S Rockwell St , Chicago IL 60629-1735. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / SNF/Subacute Care, which is considered as her primary health care specialty. Shelby, Diane C can be contacted via phone (773) 737-2169.

Contact Information

Primary practice address
6515 S Rockwell St Chicago IL 60629-1735
Phone: (773) 737-2169
Fax: (773) 737-7226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / SNF/Subacute Care 2278S1500X DS39630302P Illinois

Profile Details

NPI number 1861690422
LBN Legal business name Shelby, Diane C
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861690422 NPPES
Illinois MEDICAID DS39630302P

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