NPI | 1285984047 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS JOSEPH SHEA Owner, Nicholas Shea, Pc & Provider 312-268-4070 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036123263) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2021-04-13 |