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Search › Illinois › 103TC0700X

Shane Reister, PSY.D

NPI 1619162278 · on the registry since 2007

Practice

Address
715 Lake St Ste 800
Oak Park, IL 60301
Phone
(312) 316-3307
Organisation at this address
Mindful, Inc.
Danielle Principato
Well Adjusted World
Biomedical Concepts
Sj Chiropractic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois