Individual
JULIA RENEE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 N LAKE SHORE DR APT 1103A, APT 1103A, CHICAGO, IL 60613-3434
(630) 441-7376
Mailing address
3950 N LAKE SHORE DR APT 1103A, CHICAGO, IL 60613-3434
(630) 441-7376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007930
IL
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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