Provider Demographics
NPI:1942496328
Name:SHINER, JILL EDEN
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:EDEN
Last Name:SHINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N CLARK ST STE 2750
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-5103
Mailing Address - Country:US
Mailing Address - Phone:866-296-5262
Mailing Address - Fax:877-991-8819
Practice Address - Street 1:20 N CLARK ST STE 2750
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-5103
Practice Address - Country:US
Practice Address - Phone:866-296-5262
Practice Address - Fax:877-991-8819
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health