Individual
TABISH SHAMSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7627 LAKE ST, STE 206 #A90, RIVER FOREST, IL 60305
(773) 467-3749
Mailing address
7627 LAKE ST, STE 206 #A90, RIVER FOREST, IL 60305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071009918
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2015
Last updated
11/08/2023
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