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

Sivad Eugene Shaw, MS, RKT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1881309466

Sivad Eugene Shaw, MS, RKT is a Physical Medicine & Rehabilitation Physician in Hines, Illinois. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

5000 S 5th Ave
Hines, IL 60141-3030
Phone: (708) 202-2654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1960 (NC)

Record details

NPI number1881309466
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RKT
Sole proprietorYes
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

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