Stacey A Shaw
Stacey A Shaw is a Pediatric Nurse Practitioner in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-1443
Phone: (888) 824-0200
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Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 209019812 (IL) |
|---|
Record details
| NPI number | 1356973762 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 4, 2020 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | February 4, 2020 |
| Mailing address | 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 |
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