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Search › Illinois › 208100000X

Sivad Shaw, MS, RKT

NPI 1881309466 · on the registry since 2023 · sole proprietor

Practice

Address
5000 S 5th Ave
Hines, IL 60141
Phone
(708) 202-2654
Organisation at this address
Hines Va
Hines Vamc
Hines Vamc
Hines Va Cmop
Edward Hines Va
Inferred from a shared address, not stated in the registry.
Clinicians at this address
684

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-18

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