Brooklyn Shaw

NPI 1902596083 · on the registry since 2023 · sole proprietor

Practice

Address: 1015 S Mercer Ave
Bloomington, IL 61701
Phone: (844) 263-1613
Organisation at this address: Neurology Solutions
Champion Fitness, Inc
Prairie Dermatology, Pllc
Applied Pain Institute, Llc
Midwest Neuromonitoring, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 103

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-09-28

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