SearchIllinois1041C0700X

Samuel Shovers, LSW

NPI 1235892068 · on the registry since 2021

Practice

Address
2400 N Ashland Ave
Chicago, IL 60614
Phone
(773) 904-2597
Organisation at this address
Op Phcy Svs Inc
Innovative Express Care
Innovative Express Care, Sc
Innovative Platinum Care, Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-06

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