person
Stacey A Shaw
Pediatric Nurse Practitioner in Chicago, Illinois
NPI 1356973762

Stacey A Shaw is a Pediatric Nurse Practitioner based in Burr Ridge, IL and is specialized in Pediatrics. Stacey A Shaw practices in Chicago, IL. The NPI Number for Stacey A Shaw is 1356973762 and holds a License No. 209019812 (Illinois).

The current practice location address for Stacey A Shaw is 5841 S Maryland Ave, Chicago, IL and can be reached out via phone at 888-824-0200.

Location: 5841 S Maryland Ave, Chicago, IL, 60527-5919
person
Provider Profile Details
NPI Number
1356973762
Provider Name
Stacey A Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
5841 S Maryland Ave, Chicago, IL, 60527-5919
Phone Number
888-824-0200
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209019812 (Illinois)
Definition
Definition to come...
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