JILL MARIE SHAW


Address: 1009 E. Eldorado St., Decatur, IL 62522-9023
Phone: 2174235001

JILL MARIE SHAW (NPI# 1366953721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366953721
Entity Type Individual
Full Name JILL MARIE SHAW
Practice Address 1009 E. Eldorado St.
Decatur
IL 62522-9023
Mailing Address 1009 E. Eldorado St.
Decatur
IL 62521-9023
Practice Telephone 2174235001
Mailing Telephone 2174235001
Enumeration Date 2017-10-12
Last Update Date 2017-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
011.202688 IL Other Service Providers

Other Providers JILL SHAW

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1891239760 Jill Shaw Specialist 610 S Burdick St, Kalamazoo, MI 49007-5221 2016-12-13
1447529938 Jill Shaw Counselor 181 Brackett St, Portland, ME 04102-3857 2011-12-29
1457508475 Jill Marie Shaw Nurse Practitioner 356 W Cherry St, Ackerman, MS 39735-8709 2008-08-20
1790839355 Jill Ann Shaw Family Medicine 1035 Placer St, Redding, CA 96001-1125 2007-01-22
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Office Location

Street Address 1009 E. ELDORADO ST.
City DECATUR
State IL
Zip Code 62522-9023

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902370299 Julie Ann Marsh Psychologist 7120 W. William St., Decatur, IL 62522 2019-01-20
1588808323 Paul D. Potter, D.d.s., Ltd Dentist 280 West North St, Decatur, IL 62522 2009-04-23
1801059100 Melissa Ann Burnett Dentist 301 W North Street, Decatur, IL 62522 2008-07-07
1801060538 Ronald James Grason Internal Medicine 357 W Decatur St, Decatur, IL 62522 2008-04-14
1033328349 Jurgens & Kneezel Ltd Dentist 334 W Main Street, Decatur, IL 62522 2007-05-22
1740371905 Randy Curtis Kneezel Dentist 334 W Main, Decatur, IL 62522 2006-09-27
1457373375 Patricia Elaine Norton Dentist 1099 W Wood St, Suite E, Decatur, IL 62522 2006-07-24
1104883735 Stephen J Chadwick Otolaryngology 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 2006-04-27
1417408386 Heritage Behavioral Health Center Community/Behavioral Health 955 N Main St, Decatur, IL 62522 2016-10-17
1467522466 Alan Russell Jurgens Dentist 334 W Main, Decatur, IL 62522 2006-11-08
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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1952777906 Cynthia Cohn Specialist 62 Carteret Pl, Decatur, GA 30032-2384 2015-08-13
1396165460 Diana Franklin Langford Specialist 203 Commerce Cir Sw, Suite C, Decatur, AL 35601-6856 2014-04-16
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1992157457 All 4 God's Glory Hair Loss Center, LLC Specialist 203 Commerce Cir Sw, Suite C, Decatur, AL 35601-6856 2016-07-08

Providers in the same taxonomy and state

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1366059008 Jena Young Specialist 19 Sapphire Ln, Fairview Heights, IL 62208-2641 2020-09-27
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1558988865 Ebony Roberts Specialist 16541 Oak Park Ave, Tinley Park, IL 60477-1752 2020-07-02
1073135729 Marquita Daniel Specialist 9295 159th St Ste 131, Orland Hills, IL 60487-5977 2020-05-15
1760021703 Monica Bembry Specialist 552 N Mannheim Rd Ste B, Hillside, IL 60162-1121 2019-12-21
1164072831 Brandi Fields Specialist 6400 W Main St Ste 3k, Belleville, IL 62223-3806 2019-09-16
1669029096 Akossiwa Amenyo Specialist 625 S Lincoln Ave, O Fallon, IL 62269-2663 2019-08-21
1043878747 Kermitt Alexander Specialist 1575 Sibley Blvd, Calumet City, IL 60409-2304 2019-05-29
1508421579 Jorell Glass Specialist 456 Fulton St Ste 180, Peoria, IL 61602-1292 2019-05-06
1114582368 Shundrea Neely Specialist 10301 Lincoln Trl, Fairview Heights, IL 62208-1829 2019-05-03
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Competitor

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City DECATUR
Zip Code 62522

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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