Search › Illinois › 172A00000X
Shavonda Fields
NPI 1730851932 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1429 S Kedvale Ave
Chicago, IL 60623 - Phone
- (773) 680-0710
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 101YP1600X
251S00000X
347C00000X
372600000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-05
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