Individual
SHAVON HARSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
815 PASQUINELLI DR, WESTMONT, IL 60559-1276
(630) 654-2515
(630) 654-2516
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238-000744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238.000744
STATE OF IL SURGICAL ASSISTANT LICENSE
IL
Enumeration date
09/29/2021
Last updated
09/12/2025
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