Individual
CALLAN E SHAWCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 E 95TH ST, CHICAGO, IL 60617-4708
(773) 375-8711
(773) 375-8703
Mailing address
1747 E 95TH ST, CHICAGO, IL 60617-4708
(773) 375-8711
(773) 375-8703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021800
IL
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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