Search › Illinois › 363A00000X
Katelyn Shaw
NPI 1538833140 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10887 Nebraska St
Frankfort, IL 60423 - Phone
- (815) 666-7948
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-08
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