Provider Demographics
NPI:1275865230
Name:KATE SHEAN INC
Entity Type:Organization
Organization Name:KATE SHEAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:312-925-5325
Mailing Address - Street 1:3829 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1119
Mailing Address - Country:US
Mailing Address - Phone:312-925-5325
Mailing Address - Fax:
Practice Address - Street 1:3829 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1119
Practice Address - Country:US
Practice Address - Phone:312-925-5325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL07001162722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty