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Individual

RITA MORENO SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,VA-BC,RN

Contact information

Practice address
7352 LAWNDALE AVE, SKOKIE, IL 60076-4022
(847) 626-0800
(847) 626-0819
Mailing address
7352 LAWNDALE AVE, SKOKIE, IL 60076-4022
(847) 626-0800
(847) 626-0819

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-401428
IL

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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