Search › Illinois › 106S00000X
Shacoby Tines
NPI 1861993776 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10616 S Normal Ave
Chicago, IL 60628 - Phone
- (708) 819-6100
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2020-06-26
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