Shapiro, David
Shapiro, David is an individual health care provider with primary practice located at 9125 S Pulaski Rd , Evergreen Park IL 60805-1441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shapiro, David can be contacted via phone (708) 422-7715.Contact Information
Primary practice address
9125 S Pulaski Rd
Evergreen Park IL 60805-1441
Phone: (708) 422-7715
Fax: (708) 422-7816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036070700 | Illinois |
Profile Details
| NPI number | 1528084696 |
|---|---|
| LBN Legal business name | Shapiro, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 26th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528084696 | NPPES |
| Illinois | MEDICAID | 036070700 |
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