MEDICARE: DR. NATHANIEL MATTHEW SCHAPIRO PSY.D.

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	103TC0700X	Clinical Psychologist	071010286	IL

General Provider Information

NPI Number	:	1619555166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHANIEL MATTHEW SCHAPIRO PSY.D.

Provider Business Mailing Address
First Line	:	3450 N LAKE SHORE DR APT 3204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2863
Country	:	US
Telephone Number	:	954-298-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 N LAKE SHORE DR APT 3204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2863
Country	:	US
Telephone Number	:	954-298-4321
Fax Number	:

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

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	03/29/2021

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