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Shirley Shaw
NPI 1003052655 · on the registry since 2009 · sole proprietor
Practice
- Address
- 17851 Gladville Ave
Homewood, IL 60430 - Phone
- (773) 386-5355
- Fax
- (708) 991-7835
Registry record
- Primary taxonomy
- Non-emergency Medical Transport (VAN)
343900000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois