Shale Marks LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SHALE MARKS LLC

Practice address

355 W Dundee Rd Ste 110
Buffalo Grove, IL 60089-3500

Phone

(847) 337-1960

NPI assigned

Apr 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ewa Rozek, ADMIN

Title

Manager

Phone

(847) 337-1960

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1710730908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "847-337-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "847-337-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALE MARKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "ROZEK",
        "authorized_official_first_name": "EWA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-337-1960",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Seo, BCBA
• Samantha Serpico
• Neha Bhupendra Shah, PA-C
• Nidhi Shah, APN-CNP
• Roha Shaikh
• Samer Shaltoni, DMD
• Alla Shamray
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• Jori L Shea, MPT
• Toby John Sheasby, PT

• Addiction (Substance Use Disorder) Counselor in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.