Shaw, Sivad Eugene

Shaw, Sivad Eugene is an sole proprietor health care provider with primary practice located at 5000 S 5Th Ave , Hines IL 60141-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Shaw, Sivad Eugene can be contacted via phone (708) 202-2654.

Contact Information

Primary practice address
5000 S 5Th Ave Hines IL 60141-3030
Phone: (708) 202-2654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1960 North Carolina

Profile Details

NPI number 1881309466
LBN Legal business name Shaw, Sivad Eugene
Credentials MS, RKT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2023
Last updated Jan 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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