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SHAPERZ INC NPI 1144981473


NPI Information

NPI: 1144981473
Provider Name: SHAPERZ INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2253803

Address:
3754 W 111TH ST UNIT B
CHICAGO, IL
ZIP 60655
Phone: (773) 658-5157
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SHAPERZ INC is a primary care clinic center in Chicago, IL. SHAPERZ INC NPI is 1144981473. The provider is registered as an organization entity type.

The provider's business location address is:

3754 W 111TH ST UNIT B
CHICAGO, IL
ZIP 60655-008
Phone: (773) 658-5157
Fax: (708) 931-3446

The provider's authorized official is Lynn St. Victor-luckett .
The authorized official title is Owner and has the following contact phone number (773) 875-0069.

The CLIA number assigned to this NPI record is 14D2253803 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2022 and was last updated on 1/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.