Organization
DAVID SHOR PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SHOR PH.D. (PRESIDENT)
(847) 331-2949
Entity
Organization
Contact information
Practice address
5225 OLD ORCHARD RD STE 30, SKOKIE, IL 60077-1027
(847) 331-2949
Mailing address
5225 OLD ORCHARD RD STE 30, SKOKIE, IL 60077-1027
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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