Provider Information for 1235697954
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RYAN M SHEEHAN LCSW
Sex: Male
NPI: 1235697954
Last Updated: 2024-06-14
Certification Date: 2024-06-14
Certification Date: 2024-06-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235697954 | ||||||||
| Enumeration Date | 2019-03-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7272 PLEASANT VIEW DR MACHESNEY PARK, IL 61115-7656 United States Phone: 815-540-7862 | Fax: | ||||||||
| Primary Practice Address | 332 S MICHIGAN AVE STE 900 CHICAGO, IL 60604-4393 United States Phone: 815-540-7862 | Fax: | ||||||||
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