Andrew Vincent Shack in Oak Park - Clinical
Andrew Vincent Shack - NPI 1659327229
Andrew Vincent Shack is a Clinical in Oak Park, Illinois. Andrew Vincent Shack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrew Vincent Shack is 1659327229. The last update date is 2014-02-27.
Andrew Vincent Shack's current location address is 1103 Westgate St, Oak Park, Illinois. You can contact this provider via phone number 7083868112 and fax number 7083834298. The mailing address for Andrew Vincent Shack is 1103 Westgate St, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Vincent Shack |
|---|---|
| Address | 1103 Westgate St, Oak Park, Illinois |
| Phone Number | 7083868112 |
| Fax Number | 7083834298 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1659327229 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 1103 Westgate St |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603011088 |
| Phone Number | 7083868112 |
| Fax Number | 7083834298 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006231 |
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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 |
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What is the Andrew Vincent Shack's 1659327229?
The Andrew Vincent Shack's NPI (National Provider Identifier) Number is 1659327229. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Andrew Vincent Shack by the Centers for Medicare & Medicaid Services (CMS)?
The Andrew Vincent Shack has been assigned the NPI (National Provider Identifier) 1659327229. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Andrew Vincent Shack's specialty and taxonomy code?
The Andrew Vincent Shack's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Andrew Vincent Shack's 1659327229 issued?
The Andrew Vincent Shack's 1659327229 was issued on 2006-05-25.
When was the information pertaining to Andrew Vincent Shack most recently updated or revised?
The details related to Andrew Vincent Shack, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-27.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH