Individual provider · Type 1 NPI

Shavez Rosenthal

Driver · Bourbonnais, IL

NPI number 1750199147 Active

Practice location

1908 Willow Brook Dr
Bourbonnais, IL 60914-5082

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1750199147

Shavez Rosenthal's National Provider Identifier is 1750199147, issued on Dec 18, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bourbonnais, IL. The record was last updated on Dec 18, 2024.