SHIRLEY ANN SHAW

HOMEWOOD, IL
NPI1003052655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IL  MC6805)
Enumeration Date2009-01-04
Last Update Date2009-01-04
Business Address
-- SHIRLEY ANN SHAW
17851 GLADVILLE AVE
HOMEWOOD, IL 60430-1836
Phone number: 773-386-5355
Mailing Address
-- SHIRLEY ANN SHAW
17851 GLADVILLE AVE
HOMEWOOD, IL 60430-1836
Phone number: 773-386-5355