Provider Demographics
NPI:1134561038
Name:OIF, SHAINA ILYSE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHAINA
Middle Name:ILYSE
Last Name:OIF
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N ORCHARD ST
Mailing Address - Street 2:APT 301
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5241
Mailing Address - Country:US
Mailing Address - Phone:216-408-2707
Mailing Address - Fax:
Practice Address - Street 1:2800 N ORCHARD ST
Practice Address - Street 2:APT 301
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5241
Practice Address - Country:US
Practice Address - Phone:216-408-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist