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Individual

DR. STEWART AARON SHANKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1007 W HARRISON ST RM 1062D, M/C 285, CHICAGO, IL 60607-7135
(312) 355-3812
(312) 413-4122
Mailing address
1007 W HARRISON ST RM 1062D, M/C 285, CHICAGO, IL 60607-7135
(312) 355-3812
(312) 413-4122

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
IL
103TC0700X
Clinical Psychologist
Primary
IL

Other

Enumeration date
10/31/2007
Last updated
10/31/2007
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