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NPI Code Detail

MEDICARE: SARAH SHAW

MEDICARE: SARAH 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
1104100000XSocial Worker150.104506IL

General Provider Information

NPI Number : 1730935081
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SHAW
Provider Business Mailing Address
First Line : 1648 W SHERWIN AVE APT 2A
Second Line :
City : CHICAGO
State : IL
Zip : 60626-7041
Country : US
Telephone Number : 810-444-7062
Fax Number :
Provider Business Practice Location Address
First Line : 1979 N MILL ST STE 105
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-1295
Country : US
Telephone Number : 630-281-2496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2024
Last Update Date : 04/27/2024

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Directions to “ SARAH SHAW ” Practice Location

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