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Shirley Ann Shaw
Non-emergency Medical Transport (VAN) in Homewood, Illinois
NPI 1003052655

Shirley Ann Shaw is a Non-emergency Medical Transport (VAN) based in Homewood, IL. Shirley Ann Shaw practices in Homewood, IL. The NPI Number for Shirley Ann Shaw is 1003052655 and holds a License No. MC6805 (Illinois).

The current practice location address for Shirley Ann Shaw is 17851 Gladville Ave, Homewood, IL and can be reached out via phone at 773-386-5355 and via fax at 708-991-7835. You can also correspond with Shirley Ann Shaw through the mailing address at 17851 GLADVILLE AVE, HOMEWOOD, IL - 60430-1836 (mailing address contact number: 773-386-5355).

Location: 17851 Gladville Ave, Homewood, IL, 60430-1836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003052655
Provider Name
Shirley Ann Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
17851 Gladville Ave, Homewood, IL, 60430-1836
Phone Number
773-386-5355
Fax Number
708-991-7835
Provider Enumeration Date
01/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17851 Gladville Ave
City
Homewood
State
Illinois
Zip
60430-1836
Phone Number
773-386-5355
Fax Number
708-991-7835
person
Provider Business Mailing Address Details
Address
17851 Gladville Ave
City
Homewood
State
Illinois
Zip
60430-1836
Phone Number
773-386-5355
Fax Number
708-991-7835
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
MC6805 (Illinois)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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