Sivad Eugene Shaw, MS, RKT

NPI #1881309466 in Hines, Illinois

Provider Information

NPI Number
1881309466
Entity Type
Individual
Name
Sivad Eugene Shaw, MS, RKT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation
Credential
MS, RKT
Enumeration Date
Jan 18, 2023
Last Updated
Jan 18, 2023

Practice Location

Address
5000 S 5TH AVE
City
Hines
ZIP Code
60141-3030
Phone
(708) 202-2654

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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