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Search › Illinois › 363A00000X

Kimberly Shaw, PA-C

NPI 1942454186 · on the registry since 2008

Practice

Address
31 W 155th St
Harvey, IL 60426
Phone
(708) 596-5177
Fax
(708) 596-5518
Organisation at this address
Medcentrix Inc
Medcentrix Inc
J And M Pharmacy Inc
Grand Prairie Services
Family Christian Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Additional practice sites

  • 3201 S Wallace St, Chicago, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-18

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