Benjamin Shain in Evanston - Child & Adolescent Psychiatry

Benjamin Shain - NPI 1083633804

Benjamin Shain is a Child & Adolescent Psychiatry in Evanston, Illinois. Benjamin Shain practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Benjamin Shain is 1083633804. The last update date is 2020-12-08.

Benjamin Shain's current location address is 2650 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8475701206 and fax number 8475701248. The mailing address for Benjamin Shain is 2650 Ridge Ave, Evanston, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin Shain
Address 2650 Ridge Ave, Evanston, Illinois
Phone Number 8475701206
Fax Number 8475701248
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083633804
Provider Enumeration Date 2006-07-19
Last Updated Date 2020-12-08

Provider Mailing Address Detail

Address 2650 Ridge Ave
City Evanston
State Illinois (IL)
Post Code 602011718
Phone Number 8475701206
Fax Number 8475701248

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 36103300
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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FAQs about Benjamin Shain

What is the unique 10-digit identification code assigned to Benjamin Shain by the Centers for Medicare & Medicaid Services?

The Benjamin Shain has been issued the NPI (National Provider Identifier) 1083633804, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Benjamin Shain is physically located?

The Benjamin Shain is situated at the following address: 2650 Ridge Ave, Evanston, IL 602011718.

What is the Benjamin Shain's specialty and taxonomy code?

The Benjamin Shain's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.

When did Benjamin Shain receive its 1083633804 assignment?

The Benjamin Shain was assigned its 1083633804 on 2006-07-19, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Benjamin Shain last refreshed?

The information related to the Benjamin Shain, including its address, specialty, and other relevant details, was last updated on 2020-12-08.

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