Provider Demographics
NPI:1134005010
Name:MAHADY, SHALYNN NICOLE
Entity type:Individual
Prefix:
First Name:SHALYNN
Middle Name:NICOLE
Last Name:MAHADY
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 1:517 S CAMPBELL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-0310
Mailing Address - Country:US
Mailing Address - Phone:312-278-1529
Mailing Address - Fax:
Practice Address - Street 1:770 N HALSTED ST STE 306
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-8407
Practice Address - Country:US
Practice Address - Phone:312-278-1529
Practice Address - Fax:312-278-1529
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator