Individual
CONNOR SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
951 ESSINGTON RD, JOLIET, IL 60435-8439
(630) 323-6116
(815) 744-4756
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-020810
IL
Other
Enumeration date
05/06/2020
Last updated
08/27/2024
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