Individual
DR. VERLAINNA CATHLEEN-SHAW CALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.ED.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4007
Mailing address
22660 BASS LAKE RD, PLAINFIELD, IL 60544-7379
(815) 439-0512
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36104536
—
IL
Enumeration date
09/01/2006
Last updated
07/08/2007
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