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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
011.202688 | IL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083734727 | Jill Balla Shaw | Chiropractor | 38377 N Drexel Blvd, Antioch, IL 60002-9778 | 2007-03-29 |
1770576340 | Jill Marie Shaw | Obstetrics & Gynecology | 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222-2237 | 2005-08-29 |
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 |
1821020413 | Jill Davis Shaw | Speech-Language Pathologist | 32 Garland Dr, Jackson, TN 38305-3602 | 2006-07-06 |
Street Address |
1009 E. ELDORADO ST. |
City | DECATUR |
State | IL |
Zip Code | 62522-9023 |
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 |
Find all providers in zip 62522 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
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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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366059008 | Jena Young | Specialist | 19 Sapphire Ln, Fairview Heights, IL 62208-2641 | 2020-09-27 |
1164034633 | Michelle Coburn | Specialist | 8327 S Loomis Blvd, Chicago, IL 60620-3958 | 2020-08-17 |
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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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.