NPI 1003052655

Shirley Ann Shaw

Practitioner Non-emergency Medical Transport (VAN) Homewood, IL

Practice location

Address: 17851 Gladville Ave, Homewood, IL 60430-1836
Phone: (773) 386-5355
Fax: (708) 991-7835

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence MC6805 (IL)

Other Non-emergency Medical Transport (VAN) providers in Illinois →

Registry record

NPI: 1003052655
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2009
Record last updated: 4 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.