Individual
SHIRLEY ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17851 GLADVILLE AVE, HOMEWOOD, IL 60430-1836
(773) 386-5355
(708) 991-7835
Mailing address
17851 GLADVILLE AVE, HOMEWOOD, IL 60430-1836
(773) 386-5355
(708) 991-7835
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MC6805
IL
Other
Enumeration date
01/04/2009
Last updated
01/04/2009
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