Shane Michael Reister in Oak Park - Clinical
Shane Michael Reister - NPI 1619162278
Shane Michael Reister is a Clinical in Oak Park, Illinois. Shane Michael Reister practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shane Michael Reister is 1619162278. The last update date is 2007-09-07.
Shane Michael Reister's current location address is 715 Lake St Ste 800, Oak Park, Illinois. You can contact this provider via phone number 3123163307. The mailing address for Shane Michael Reister is 715 Lake St Ste 800, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shane Michael Reister |
---|---|
Address | 715 Lake St Ste 800, Oak Park, Illinois |
Phone Number | 3123163307 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1619162278 |
---|---|
Provider Enumeration Date | 2007-09-07 |
Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
Address | 715 Lake St Ste 800 |
---|---|
City | Oak Park |
State | Illinois (IL) |
Post Code | 603011422 |
Phone Number | 3123163307 |
Fax Number |
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 |
Post Comment/ Review Below
What is the Shane Michael Reister's 1619162278?
The Shane Michael Reister's NPI (National Provider Identifier) Number is 1619162278. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shane Michael Reister's facilities are geographically located?
The facilities of Shane Michael Reister are physically situated at the following location: 715 Lake St Ste 800, Oak Park, IL, 603011422.
What is Shane Michael Reister's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shane Michael Reister is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Shane Michael Reister receive the assignment of its 1619162278 from the Centers for Medicare & Medicaid Services?
The Shane Michael Reister was issued its 1619162278 by the Centers for Medicare & Medicaid Services on 2007-09-07.
As of what date was the information regarding Shane Michael Reister, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shane Michael Reister, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN