Healthcare Provider Details

I. General information

NPI: 1356202907
Provider Name (Legal Business Name): RESHAPE RX CHICAGO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3318 COMMERCIAL AVE
NORTHBROOK IL
60062-1909
US

IV. Provider business mailing address

3318 COMMERCIAL AVE
NORTHBROOK IL
60062-1909
US

V. Phone/Fax

Practice location:
  • Phone: 267-253-2537
  • Fax:
Mailing address:
  • Phone: 267-253-2537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. CARI A LALANDE
Title or Position: PHARMACY DIRECTOR
Credential: PHARMD
Phone: 267-253-2537