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

Shavez Rosenthal

Individual provider Driver · NPI 1750199147

Shavez Rosenthal is a Driver in Bourbonnais, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1908 Willow Brook Dr
Bourbonnais, IL 60914-5082
Phone: (815) 342-6424
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1750199147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address1908 Willow Brook Dr, Bourbonnais, IL 60914-5082

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