SearchIllinois164W00000X

Andrea Shaw

NPI 1174286736 · on the registry since 2021 · sole proprietor

Practice

Address
900 W Race St
Ridgway, IL 62979
Phone
(618) 272-8831
Fax
(618) 272-7118
Organisation at this address
Gallatin Manor Llc
Ridgway Rehabilitation And Nursing Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-20

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