Shine Duck, Ann W.

Shine Duck, Ann W. is an sole proprietor health care provider with primary practice located at 545 Lincoln Ave Suite 3, Winnetka IL 60093-2349. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Shine Duck, Ann W. can be contacted via phone (847) 757-9077.

Contact Information

Primary practice address
545 Lincoln Ave Suite 3 Winnetka IL 60093-2349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180001295 Illinois

Profile Details

NPI number 1801947601
LBN Legal business name Shine Duck, Ann W.
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Nov 7th, 2016 - about 9 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 1801947601 NPPES
Illinois Other 04908129 BLUE CROSS BLUE SHIELD

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