CHRISTINE SHAW

SPRINGFIELD, IL
NPI1083270938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085007395)
Additional Taxonomies208M00000X Hospitalist
(Licence: IL  TBD)
Enumeration Date2019-05-16
Last Update Date2024-09-11
Business Address
CHRISTINE SHAW
401 E CARPENTER ST
SPRINGFIELD, IL 62702-5104
Phone number: 217-528-7541
Mailing Address
CHRISTINE SHAW
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541