Search › Illinois › 174H00000X
Jacob Shaw, A.S, A.A.S, CPT
NPI 1558914457 · on the registry since 2019
Practice
- Address
- 2603 N Rodgers Ave
Alton, IL 62002 - Phone
- (618) 465-3298
- Fax
- (618) 465-3302
- Organisation at this address
- Senior Services Plus
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Sex
- Male
- Record last updated
- 2019-07-19
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