Sharonda A Shaw-berrocal DO

NPI 1417156274 - Family Medicine - 207Q00000X

NPI Details
NPI 1417156274
Gender Female
Enumeration Date 07/12/2007
Last Updated 10/26/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
31 W 155TH ST
HARVEY IL, 60426-3556, US
Phone (630) 697-2601
Fax (708) 589-2084
Business Location
31 W 155TH ST
HARVEY IL, 60426-3556, US
Phone (708) 596-5177
Fax (708) 589-2084
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 02003385A
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According to our database, Sharonda A Shaw-berrocal DO NPI is 1417156274, taxonomy code is 207Q00000X and license number is 02003385A, license state is located at Indiana. Sharonda A Shaw-berrocal DO physically located at 31 W 155th St, Harvey IL, 60426-3556. NPI Number Sharonda A Shaw-berrocal DO has the Individual type.

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1417156274 NPI number is provided on an as is basis without warranty of any kind. 1417156274 is maintained by the National Plan & Provider Enumeration System. The contents of Sharonda A Shaw-berrocal DO are for informational purposes only.