Search › Illinois › 222Q00000X
Alexis Shaw
NPI 1841766342 · on the registry since 2018
Practice
- Address
- 4989 Meadow Lake Dr
Richton Park, IL 60471 - Phone
- (708) 518-2960
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-13
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