IndividualActive
Shirley Shaw
NPI 1003052655 · Non-emergency Medical Transport (VAN) · Homewood, IL
Shirley Shaw is a Non-emergency Medical Transport (VAN) provider in Homewood, IL (NPI 1003052655).
Provider details
- NPI number
- 1003052655
- Entity type
- Individual
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Sex
- Female
- Sole proprietor
- Yes
- License
- MC6805 (IL)
Practice location
17851 Gladville Ave
Homewood, IL 60430-1836
Phone: (773) 386-5355
Fax: (708) 991-7835
Street-level locationGet directions
Mailing address
17851 Gladville Ave
Homewood, IL 60430-1836
Registry dates
- Enumerated
- 2009-01-04
- Last updated
- 2009-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.