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1659327229
ANDREW VINCENT SHACK
OAK PARK, IL
NPI
1659327229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: IL 071-006231)
Enumeration Date
2006-05-25
Last Update Date
2014-02-27
Business Address
DR. ANDREW VINCENT SHACK PH.D.
1103 WESTGATE ST SUITE 200
OAK PARK, IL 60301-1088
Phone number: 708-386-8112
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Mailing Address
DR. ANDREW VINCENT SHACK PH.D.
1103 WESTGATE ST SUITE 200
OAK PARK, IL 60301-1088
Phone number: 708-386-8112
Copy
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