Shirley Allen Maides-Keane in Oak Brook - Clinical

Shirley Allen Maides-Keane - NPI 1356474928

Shirley Allen Maides-Keane is a Clinical in Oak Brook, Illinois. Shirley Allen Maides-Keane practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shirley Allen Maides-Keane is 1356474928. The last update date is 2007-07-08.

Shirley Allen Maides-Keane's current location address is 2625 Butterfield Rd, Oak Brook, Illinois. You can contact this provider via phone number 6309901919 and fax number 6309903151. The mailing address for Shirley Allen Maides-Keane is 2625 Butterfield Rd, Oak Brook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley Allen Maides-Keane
Address 2625 Butterfield Rd, Oak Brook, Illinois
Phone Number 6309901919
Fax Number 6309903151
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1356474928
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2625 Butterfield Rd
City Oak Brook
State Illinois (IL)
Post Code 605231234
Phone Number 6309901919
Fax Number 6309903151

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2272088 IL BLUE SHIELD PROVIDER #

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FAQs about Shirley Allen Maides-Keane

What is the unique 10-digit identifier code issued to Shirley Allen Maides-Keane by the Centers for Medicare & Medicaid Services?

The Shirley Allen Maides-Keane has been assigned the NPI (National Provider Identifier) 1356474928 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Shirley Allen Maides-Keane is physically located?

The Shirley Allen Maides-Keane is situated at the following address: 2625 Butterfield Rd, Oak Brook, IL 605231234.

What is the Shirley Allen Maides-Keane's area of specialization and corresponding taxonomy classification?

The Shirley Allen Maides-Keane's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1356474928 to Shirley Allen Maides-Keane?

The Centers for Medicare & Medicaid Services assigned the 1356474928 to Shirley Allen Maides-Keane on 2007-03-13.

As of what date were the details related to Shirley Allen Maides-Keane most recently updated or revised?

The information pertaining to Shirley Allen Maides-Keane, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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