Search › Illinois › 363A00000X
Everett Shaw, PA-C
NPI 1437444163 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4775 E Maryland St
Decatur, IL 62521 - Phone
- (217) 864-3737
- Fax
- (217) 864-3468
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-17
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