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Shavez Rosenthal

NPI 1750199147 · on the registry since 2024

Practice

Address
1908 Willow Brook Dr
Bourbonnais, IL 60914
Phone
(815) 342-6424

Registry record

Primary taxonomy
Driver
172A00000X
Sex
Male
Record last updated
2024-12-18

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