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General NPI Number Information
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NPI Number | 1710820931
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Entity Type | Individual
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Provider Name | SHAYLA HOWARD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 16126 S PARK AVE STE 3
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-1591
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Country | US
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Telephone | 708-331-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 5411 W POTOMAC AVE
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City | CHICAGO
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State | IL
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Zip | 60651-1314
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Country | US
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Telephone | 312-597-8463
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 011276703
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License Number State | IL
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