Maides-Keane, Shirley Allen

Maides-Keane, Shirley Allen is an sole proprietor health care provider with primary practice located at 2625 Butterfield Rd Suite 138 South, Oak Brook IL 60523-1234. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maides-Keane, Shirley Allen can be contacted via phone (630) 990-1919.

Contact Information

Primary practice address
2625 Butterfield Rd Suite 138 South Oak Brook IL 60523-1234
Phone: (630) 990-1919
Fax: (630) 990-3151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1356474928
LBN Legal business name Maides-Keane, Shirley Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356474928 NPPES
Illinois Other 0002272088 BLUE SHIELD PROVIDER #

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