MEDICARE: SHAVON PIPKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1144192766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAVON PIPKINS

Provider Business Mailing Address
First Line	:	3231 S HALSTED ST STE 283
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-6613
Country	:	US
Telephone Number	:	312-823-9599
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 S HALSTED ST STE 283
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-6613
Country	:	US
Telephone Number	:	312-823-9599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “ SHAVON PIPKINS ” Practice Location

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