Andrew Shack, PH.D

NPI 1659327229 · on the registry since 2006 · sole proprietor

Practice

Address: 1103 Westgate St
Suite 200
Oak Park, IL 60301
Phone: (708) 386-8112
Fax: (708) 383-4298
Organisation at this address: Maria Cecilia Dahn, M.D.
Look Psychological Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

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: 2014-02-27

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