MEDICARE: KATIE SHAW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070.028499	IL

General Provider Information

NPI Number	:	1356175210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE SHAW

Provider Business Mailing Address
First Line	:	33900 HARPER AVE STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1923 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4322
Country	:	US
Telephone Number	:	773-492-3880
Fax Number	:	773-492-3881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2024
Last Update Date	:	09/04/2024

Similar Medicare Providers

1649826470 — DANNY JACOB KANIYALY PT, DPT
Practice Location Address:

1923 N WESTERN AVE
CHICAGO, IL
60647-4322

Practice Phone: 773-492-3880
Practice Fax: 773-492-3881

1477694305 — KRISTIN DRYDEN DPT
Practice Location Address:

1923 N WESTERN AVE
CHICAGO, IL
60647-4322

Practice Phone: 773-492-3880
Practice Fax: 773-492-3881

1124823729 — KATHLEEN MARIE CALLAGHAN DPT
Practice Location Address:

1923 N WESTERN AVE
CHICAGO, IL
60647-4322

Practice Phone: 773-492-3880
Practice Fax: 773-492-3881

1174498612 — STEVEN J FERRAH DPT
Practice Location Address:

1923 N WESTERN AVE
CHICAGO, IL
60647-4322

Practice Phone: 773-492-3880
Practice Fax: 773-492-3881

1598853541 — MS. ROSALIE DEVONSHIRE MSW, LCSW
Practice Location Address:

4322 N ELSTON AVE
CHICAGO, IL
60641-2144

Practice Phone: 773-604-5321
Practice Fax: 773-604-5231

1447587936 — MS. PRISCILLA MURPHY KANG LCSW
Practice Location Address:

1 N DEARBORN ST FL 10
CHICAGO, IL
60602-4322

Practice Phone: 312-986-4158
Practice Fax: 312-986-4187

Directions to “ KATIE SHAW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.