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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHIRLEY ANN SHAW

Active Sole Proprietor

SHIRLEY ANN SHAW is a Bus healthcare provider located in HOMEWOOD, Illinois. NPI 1003052655 is currently active in the NPPES registry. Verify at CMS.

Bus · HOMEWOOD, IL

Registration Details

NPI Number
1003052655
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2009 (17.626805141363 yrs)
Last Updated
Jan 4, 2009
License
MC6805 (IL)
Sole Proprietor
Yes

Practice Information

Address
17851 GLADVILLE AVE
HOMEWOOD, IL, 604301836
Browse IL providers · Browse ZIP 60430
Phone
7733865355
Fax
7089917835
Primary Specialty
Bus
343900000X

Other Bus Providers in HOMEWOOD, IL

Name Credential NPI
DION HARRIS 1558770636
JALICIA STEWART 1699640573
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.