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NPI Code Detail

MEDICARE: SHANA MUSLIN PH.D.

MEDICARE: SHANA MUSLIN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist071.011455IL

General Provider Information

NPI Number : 1689568271
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA MUSLIN PH.D.
Provider Business Mailing Address
First Line : 2823 W BELMONT AVE APT 306
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5890
Country : US
Telephone Number : 510-847-1312
Fax Number :
Provider Business Practice Location Address
First Line : 2021 MIDWEST RD STE 104
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1396
Country : US
Telephone Number : 630-280-8173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 06/06/2025

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