MR. CONNOR SHAW (NPI# 1528689080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528689080 |
Entity Type | Individual |
Full Name | MR. CONNOR SHAW |
Credential | NP-C |
Practice Address |
610 S Maple Ave Ste 5700 Oak Park IL 60304-2808 |
Practice Telephone | 7087638381 |
Practice Fax Number | 7087638390 |
Mailing Telephone | 7087638381 |
Mailing Fax Number | 7087638390 |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.020810 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
610 S MAPLE AVE STE 5700 |
City | OAK PARK |
State | IL |
Zip Code | 60304-2808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
Find all providers in zip 60304 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355838 | Esmeralda Zamora | Nurse Practitioner | 1010 Lake St Ste 100, Oak Park, IL 60301-1106 | 2020-10-26 |
1033616859 | Lauren Marion | Nurse Practitioner | 1010 Lake St Ste 619, Oak Park, IL 60301-1136 | 2018-04-09 |
1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
1952828584 | Meghan Crismon Bezaire | Nurse Practitioner | 520 S Maple Ave Fl Ground, Oak Park, IL 60304-1022 | 2017-08-24 |
1376087114 | Lori Beth Friedman | Nurse Practitioner | 6017 Alexandra Ct, Oak Park, CA 91377-5833 | 2016-12-13 |
1104286392 | Selena Chantae Kirkwood | Nurse Practitioner | 3 Erie Ct., West Suburban Medical Center, Oak Park, IL 60302 | 2016-03-01 |
1831556703 | Patience Alilionwu | Nurse Practitioner | 1231 Edmer Ave, Oak Park, IL 60302-1133 | 2016-01-24 |
1396149449 | Laurie Zack | Nurse Practitioner | 525 S Scoville Ave, Unit 1, Oak Park, IL 60304-1403 | 2014-10-17 |
1548671399 | Kina Montgomery | Nurse Practitioner | 138 N Austin Blvd, Apt 3a, Oak Park, IL 60302-3338 | 2014-05-14 |
1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
Find all providers in OAK PARK |
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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.