Individual
MATTHEW SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 W MARQUETTE RD, CHICAGO, IL 60629-1817
(312) 655-7805
Mailing address
2601 W MARQUETTE RD, CHICAGO, IL 60629-1817
(312) 655-7805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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