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1124759154
KELLY A SHAW
LOCKPORT, IL
NPI
1124759154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070026729)
Enumeration Date
2022-06-21
Last Update Date
2022-07-11
Business Address
KELLY A SHAW DPT
1147 E 9TH ST
LOCKPORT, IL 60441-3219
Phone number: 815-834-9901
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Mailing Address
KELLY A SHAW DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-1980
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