| Connor Shaw, NP | |
|
951 Essington Rd, Joliet, IL 60435-8439 | |
| (630) 323-6116 | |
| (815) 744-4756 |
| Full Name | Connor Shaw |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 951 Essington Rd, Joliet, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528689080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-020810 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Orthopaedic Group S C | 9335134691 | 24 |
| Entity Name | Parkview Orthopaedic Group S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154350353 PECOS PAC ID: 9335134691 Enrollment ID: O20040416000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Shaw, NP 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Connor Shaw, NP 951 Essington Rd, Joliet, IL 60435-8439 Ph: (630) 323-6116 |
Tasha Dawn Horsley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431 Phone: 815-409-4930 Fax: 815-741-3263 | |
Sherri L Albert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3201 Fax: 815-741-6293 | |
Mrs. Theresa Donley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Black Rd, Joliet, IL 60435 Phone: 815-823-8164 | |
Dolly Osas Agba, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Neal Ave, Joliet, IL 60433 Phone: 815-727-8670 Fax: 815-740-8149 | |
Danielle Marie Ratazak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St, Joliet, IL 60436 Phone: 815-634-0100 | |
Stacey Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 708-223-2698 | |
Maureen Ann Gorszczyk, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104 |