Individual
ELEANOR M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4969 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 62226-8928
(618) 235-2311
(618) 589-3335
Mailing address
4969 BENCHMARK CENTRE DR, SUITE 100, SWANSEA, IL 62226-8928
(618) 235-2311
(618) 589-3335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036081980
IL
Other
Enumeration date
03/21/2007
Last updated
10/03/2014
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