Callentine, Verlainna Cathleen-Shaw

Callentine, Verlainna Cathleen-Shaw is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Callentine, Verlainna Cathleen-Shaw can be contacted via phone (708) 684-4007.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-4007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1043312051
LBN Legal business name Callentine, Verlainna Cathleen-Shaw
Credentials M.D., M.ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043312051 NPPES
Illinois MEDICAID 36104536

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