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1619162278
SHANE MICHAEL REISTER
OAK PARK, IL
NPI
1619162278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.007001)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
Dr. SHANE MICHAEL REISTER Psy.D.
715 LAKE ST STE 800
OAK PARK, IL 60301-1422
Phone number: 312-316-3307
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Mailing Address
Dr. SHANE MICHAEL REISTER Psy.D.
715 LAKE ST STE 800
OAK PARK, IL 60301-1422
Phone number: 312-316-3307
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