Individual
DR. MERVAT JIRIES SHA'INI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.A.
Contact information
Practice address
1653 WEST CONGRESS PARKWAY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.005630
IL
2084P0800X
Psychiatry Physician
Primary
125033627
IL
Other
Enumeration date
02/12/2010
Last updated
05/21/2012
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