MEDICARE: MS. DOROTHY SHAPIRO APN, CNP

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	363LA2100X	Acute Care Nurse Practitioner	209-002891	IL

General Provider Information

NPI Number	:	1558357384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOROTHY SHAPIRO APN, CNP

Provider Business Mailing Address
First Line	:	800 BIESTERFIELD RD
Second Line	:	SUITE 510
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3361
Country	:	US
Telephone Number	:	847-981-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BIESTERFIELD RD
Second Line	:	SUITE 510
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3311
Country	:	US
Telephone Number	:	847-981-3660
Fax Number	:	847-956-5108

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	02/13/2012

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