Individual
DR. SHAIFALI SANDHYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 EAST ERIE, SUITE 409, CHICAGO, IL 60611
(773) 818-6717
Mailing address
233 EAST ERIE, SUITE 409, CHICAGO, IL 60611
(773) 818-6717
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-2249868
TAX ID
IL
Enumeration date
08/28/2008
Last updated
08/28/2008
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