ALEXANDER SHAW (NPI# 1609367119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609367119 |
| Entity Type | Individual |
| Full Name | ALEXANDER SHAW |
| Credential | DO |
| Practice Address |
1325 Community Memorial Dr La Grange IL 60525 |
| Mailing Address |
1325 Community Memorial Dr La Grange IL 60525-2659 |
| Practice Telephone | 7082458900 |
| Practice Fax Number | 7082455777 |
| Mailing Telephone | 7082458900 |
| Mailing Fax Number | 7082455777 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 125071917 | IL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5101 Willow Springs Rd Fl 2, La Grange, IL 605252600 | 7082458900 | 7082455777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1922650126 | Alexander Christian Shaw | Physician Assistant | 177 Fort Washington Ave, New York, NY 10032-3733 | 2019-07-09 |
| 1457784795 | Alexander Tracey Shaw | Physical Therapist | 3920 Springfield Rd, Glen Allen, VA 23060-4119 | 2013-08-09 |
| Street Address |
1325 COMMUNITY MEMORIAL DR |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619925963 | Daniel Hunter Smith | Family Medicine | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2006-05-05 |
| 1487274593 | Sehar Fatima | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-17 |
| 1649890872 | Priya Indravadan Patel | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-17 |
| 1215556527 | Eric Jon Stanek | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-16 |
| 1902426299 | Da Hee Lee | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-16 |
| 1720608011 | Arun Jacob | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-16 |
| 1639798994 | Joshua James Kaminski | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-15 |
| 1528628138 | Hooman Shams | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2019-06-17 |
| 1790344828 | Mehal Nilesh Shah | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2019-06-12 |
| 1225697576 | Brian Young Lee | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354977 | Karen Fu | Student in an Organized Health Care Education/Training Program | 31 E Ogden Ave Unit 118, La Grange, IL 60525-2095 | 2020-04-03 |
| 1215563390 | Stephanie Munoz | Student in an Organized Health Care Education/Training Program | 8148 Hess Ave, La Grange, IL 60525-5272 | 2020-03-20 |
| 1467816025 | John Dunlap | Student in an Organized Health Care Education/Training Program | 536 S Brainard Ave, La Grange, IL 60525-6108 | 2016-04-11 |
| 1871936385 | Luke Gleason | Student in an Organized Health Care Education/Training Program | 537 S Spring Ave, La Grange, IL 60525-2750 | 2013-04-15 |
| 1235417650 | Kristofer Robert Yaple | Student in an Organized Health Care Education/Training Program | 1711 Mahogany Run Dr, La Grange, KY 40031-8940 | 2011-08-02 |
| 1487274593 | Sehar Fatima | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-17 |
| 1649890872 | Priya Indravadan Patel | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-17 |
| 1215556527 | Eric Jon Stanek | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-16 |
| 1902426299 | Da Hee Lee | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-16 |
| 1720608011 | Arun Jacob | Student in an Organized Health Care Education/Training Program | 1325 Community Memorial Dr, La Grange, IL 60525-2659 | 2020-04-16 |
| Find all providers in LA GRANGE | ||||
Please comment or provide details below to improve the information on ALEXANDER SHAW.
| 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.