Provider Demographics
NPI:1073982583
Name:SHAVER, SHARILEE (CADC)
Entity Type:Individual
Prefix:
First Name:SHARILEE
Middle Name:
Last Name:SHAVER
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 SAINT TROPEZ CT
Mailing Address - Street 2:
Mailing Address - City:FOX LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60020-1040
Mailing Address - Country:US
Mailing Address - Phone:847-722-4841
Mailing Address - Fax:
Practice Address - Street 1:7105 SAINT TROPEZ CT
Practice Address - Street 2:
Practice Address - City:FOX LAKE
Practice Address - State:IL
Practice Address - Zip Code:60020-1040
Practice Address - Country:US
Practice Address - Phone:847-722-4841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker