Shapiro, Oty

Shapiro, Oty is an sole proprietor health care provider with primary practice located at 5600 W Addison St Suite 302, Chicago IL 60634-4401. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Shapiro, Oty can be contacted via phone (773) 777-3042.

Contact Information

Primary practice address
5600 W Addison St Suite 302 Chicago IL 60634-4401
Phone: (773) 777-3042
Fax: (773) 725-8400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Illinois

Profile Details

NPI number 1851350540
LBN Legal business name Shapiro, Oty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Jul 9th, 2007 - about 17 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 1851350540 NPPES
Illinois Other 21609723 BCBS PROVIDER #
Illinois Other 233690 BCBS PROVIDER #
Illinois Other 208D00000X BCBS PROVIDER #

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