DR. STEWART AARON SHANKMAN


Address: 1007 W Harrison St Rm 1062d, M/c 285, Chicago, IL 60607-7135
Phone: 3123553812

DR. STEWART AARON SHANKMAN (NPI# 1114106697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114106697
Entity Type Individual
Full Name DR. STEWART AARON SHANKMAN
Credential PH.D.
Practice Address 1007 W Harrison St Rm 1062d
M/c 285
Chicago
IL 60607-7135
Practice Telephone 3123553812
Practice Fax Number 3124134122
Mailing Telephone 3123553812
Mailing Fax Number 3124134122
Enumeration Date 2007-10-31
Last Update Date 2007-10-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
IL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Office Location

Street Address 1007 W HARRISON ST RM 1062D
M/C 285
City CHICAGO
State IL
Zip Code 60607-7135

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
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1730792151 Jenny Marie Wamsat Psychologist 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 2020-08-25
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Competitor

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City CHICAGO
Zip Code 60607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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