Individual provider · Type 1 NPI

Suman Gowda Shaw, FNP-BC

Family Nurse Practitioner · Joliet, IL

NPI number 1780214718 Active

Practice location

744 Essington Rd
Joliet, IL 60435-4912

Fax (815) 729-0707

Mailing address

10930 Cortland Ln
Huntley, IL 60142-4075

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209020361 (IL)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1780214718

Suman Gowda Shaw, FNP-BC's National Provider Identifier is 1780214718, issued on Jan 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Joliet, IL. The record was last updated on Oct 23, 2025.