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K. Shaver

NPI 1891203329 · on the registry since 2018

Practice

Address
500 N Oplaine Rd
Gurnee, IL 60031
Phone
(847) 599-4696
Organisation at this address
Warren Township Hs Dist 121
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-18

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