Healthcare Provider Details

I. General information

NPI: 1952344582
Provider Name (Legal Business Name): NANCY LOUISE SHAPIRO PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 S. WOOD ST. M/C 886
CHICAGO IL
60612
US

IV. Provider business mailing address

3874 LINNEMAN ST
GLENVIEW IL
60025-3992
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-6866
  • Fax: 312-996-0379
Mailing address:
  • Phone: 312-996-6866
  • Fax: 312-996-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18031
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number672598
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: