Search › Illinois › 207R00000X
Reid Shaw
NPI 1649858499 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5841 S Maryland Ave # Mc2115
Chicago, IL 60637 - Phone
- (773) 702-2731
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-02
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