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NPI Code Detail

MEDICARE: MS. SHAKEETA ROCKELL ARCHER

MEDICARE: MS. SHAKEETA ROCKELL ARCHER
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
1332B00000XDurable Medical Equipment & Medical SuppliesJOB0C88WIMIL

General Provider Information

NPI Number : 1609736099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAKEETA ROCKELL ARCHER
Provider Business Mailing Address
First Line : 1614 E 53RD ST STE 5
Second Line :
City : CHICAGO
State : IL
Zip : 60615-4210
Country : US
Telephone Number : 708-567-4560
Fax Number :
Provider Business Practice Location Address
First Line : 1614 E 53RD ST STE 5
Second Line :
City : CHICAGO
State : IL
Zip : 60615-4210
Country : US
Telephone Number : 708-567-4560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 11/19/2025

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Directions to “ MS. SHAKEETA ROCKELL ARCHER ” Practice Location

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