Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Shane

Individual provider Mental Health Counselor · NPI 1538915053

Jeffrey Shane is a Mental Health Counselor in Lincolnwood, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4433 W Touhy Ave
Lincolnwood, IL 60712-1820
Phone: (847) 568-9642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1538915053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address59 Eastwood Dr, Deerfield, IL 60015-5007

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