Individual
DR. JAMES A SHALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1811 W DIEHL RD, NAPERVILLE, IL 60563-9086
(630) 983-0600
Mailing address
225 BULI LN, BOLINGBROOK, IL 60490-1520
(630) 378-1777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-000998
IL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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