Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW VINCENT SHACK, PH.D.
Active Sole ProprietorDR. ANDREW VINCENT SHACK, PH.D. is a Clinical Psychologist healthcare provider located in OAK PARK, Illinois. NPI 1659327229 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · OAK PARK, IL
Registration Details
- NPI Number
- 1659327229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.18383750491 yrs)
- Last Updated
- Feb 27, 2014
- License
-
071-006231 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1103 WESTGATE STSUITE 200OAK PARK, IL, 603011088Browse IL providers · Browse ZIP 60301
- Phone
- 7083868112
- Fax
- 7083834298
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in OAK PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. BRADEN ROBERT BERKEY | PSY.D. | 1215900907 |
| DR. LEE L MADDEN | PSYD | 1861469728 |
| DR. CINDY KURRASCH GILMORE | PSYD | 1033172549 |
| STEPHEN SCHLESINGER | PH.D. | 1568427888 |
| DR. CONSTANCE LYNN BERNT | PSY.D. | 1316965486 |
| ROBERT J. SWANSON | PH.D. | 1841207339 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.