Individual
SHARONDA A SHAW-BERROCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(630) 697-2601
(708) 589-2084
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 589-2084
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-126062
IL
207P00000X
Emergency Medicine Physician
Primary
OS15645
FL
207Q00000X
Family Medicine Physician
02003385A
IN
Other
Enumeration date
07/12/2007
Last updated
08/25/2023
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