Search › Illinois › 1835P0018X
Larry Shively, BS PHARMACY
NPI 1124116355 · on the registry since 2006
Practice
- Address
- 5th And Roosevelt
119
Hines, IL 60141 - Phone
- (708) 202-8387
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois