Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaw Community Integration Services

Organization Adult Psychiatric/Mental Health Registered Nurse · NPI 1710519046

Shaw Community Integration Services is an Adult Psychiatric/Mental Health Registered Nurse in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

8119 S Vernon Ave
Chicago, IL 60619-4913
Phone: (773) 952-1965
Fax: (708) 810-9792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X

Record details

NPI number1710519046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Jefferson — Registered Nurse · (773) 952-1965
Other names Scis Agency
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address8119 S Vernon Ave # 1, Chicago, IL 60619-4913

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