Ricky D Shapiro in Des Plaines - Physician Assistant

Ricky D Shapiro - NPI 1457330425

Ricky D Shapiro is a Physician Assistant in Des Plaines, Illinois. Ricky D Shapiro practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ricky D Shapiro is 1457330425. The last update date is 2023-10-18.

Ricky D Shapiro's current location address is 9301 Golf Rd Ste 301, Des Plaines, Illinois. You can contact this provider via phone number 8476357300 and fax number 8476357556. The mailing address for Ricky D Shapiro is 9301 Golf Rd Ste 301, Des Plaines, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ricky D Shapiro
Address 9301 Golf Rd Ste 301, Des Plaines, Illinois
Phone Number 8476357300
Fax Number 8476357556
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1457330425
Provider Enumeration Date 2006-01-10
Last Updated Date 2023-10-18

Provider Mailing Address Detail

Address 9301 Golf Rd Ste 301
City Des Plaines
State Illinois (IL)
Post Code 600167900
Phone Number 8476357300
Fax Number 8476357556

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85002100
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
IL7073002 IL MEDICARE PTAN
85002100 IL --
IL7072002 IL MEDICARE PTAN

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FAQs about Ricky D Shapiro

What is the unique 10-digit identifier code issued to Ricky D Shapiro by the Centers for Medicare & Medicaid Services?

The Ricky D Shapiro has been assigned the NPI (National Provider Identifier) 1457330425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Ricky D Shapiro is located?

The Ricky D Shapiro is situated at the following address: 9301 Golf Rd Ste 301, Des Plaines, IL, 600167900.

What is Ricky D Shapiro's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ricky D Shapiro is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did the Ricky D Shapiro receive its 1457330425?

The Ricky D Shapiro was issued its 1457330425 on 2006-01-10, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Ricky D Shapiro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ricky D Shapiro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-18.

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