JERROLD SHAPIRO MD LTD NPI 1609179597

NPI Information

  • NPI: 1609179597
  • Provider Name: JERROLD SHAPIRO MD LTD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6374 N LINCOLN AVE
    SUITE 303
    CHICAGO, IL
    ZIP 60659
  • Phone: (773) 588-5900

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NPI Details

JERROLD SHAPIRO MD LTD is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JERROLD SHAPIRO MD LTD NPI is 1609179597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6374 N LINCOLN AVE
SUITE 303
CHICAGO, IL
ZIP 60659-283
Phone: (773) 588-5900
Fax: (773) 588-5775

The provider's authorized official is Jerrold Edwin Shapiro .
The authorized official title is President and has the following contact phone number (773) 588-5900.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 9/17/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036042757ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036042757MEDICAIDILLINOIS
2C38826MEDICARE UPINILLINOIS
3491130MEDICARE PINILLINOIS
4207RC0000XOTHERILLINOISTAXONOMY

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: 11/21/2025

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