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NPI Code Detail

MEDICARE: MS. JILL EDEN SHINER

MEDICARE: MS. JILL EDEN SHINER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1942496328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL EDEN SHINER
Provider Business Mailing Address
First Line : 20 N CLARK ST STE 2750
Second Line :
City : CHICAGO
State : IL
Zip : 60602-5103
Country : US
Telephone Number : 866-296-5262
Fax Number : 877-991-8819
Provider Business Practice Location Address
First Line : 20 N CLARK ST STE 2750
Second Line :
City : CHICAGO
State : IL
Zip : 60602-5103
Country : US
Telephone Number : 866-296-5262
Fax Number : 877-991-8819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2007
Last Update Date : 04/03/2025

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Directions to “ MS. JILL EDEN SHINER ” Practice Location

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