Individual
DR. ANN W. SHINE DUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
545 LINCOLN AVE, SUITE 3, WINNETKA, IL 60093-2349
(847) 757-9077
Mailing address
456 HIGHCREST DR, WILMETTE, IL 60091-2358
(847) 251-5789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180001295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04908129
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/16/2007
Last updated
11/07/2016
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