SearchIllinois124Q00000X

Shawanda Carothers, RDH

NPI 1477009793 · on the registry since 2016

Practice

Address
8321 S. Hermitage Ave
Chicago, IL 60620
Phone
(773) 386-4222

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-28

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