Individual
MRS. SHANNON KAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
225 E CHICAGO AVE # 10, CHICAGO, IL 60611-2991
(312) 227-3404
(312) 227-9820
Mailing address
225 E CHICAGO AVE # 10, CHICAGO, IL 60611-2991
(708) 516-2307
(312) 227-9820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.314114
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.023176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235234535
—
IL
Enumeration date
03/21/2017
Last updated
06/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us