SHAWNICE WAIGHT

Contractor

Active Individual
NPI: 1124253885

Practice Address

21645 OLIVIA AVE
Sauk Village, IL 60411

Phone: (708) 748-5700

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1124253885 is the National Provider Identifier for SHAWNICE WAIGHT, a Contractor provider located in Sauk Village, IL. This NPI was enumerated on May 26, 2009.
SHAWNICE WAIGHT practices at 21645 OLIVIA AVE, Sauk Village, IL 60411.

Quick Facts

NPI
1124253885
Type
Individual
Enumerated
May 26, 2009
Last Updated
May 26, 2009