MEDICARE: SHAYLA HOWARD

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	224P00000X	Prosthetist	011276703	IL

General Provider Information

NPI Number	:	1710820931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAYLA HOWARD

Provider Business Mailing Address
First Line	:	5411 W POTOMAC AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-1314
Country	:	US
Telephone Number	:	312-597-8463
Fax Number	:

Provider Business Practice Location Address
First Line	:	16126 S PARK AVE STE 3
Second Line	:
City	:	SOUTH HOLLAND
State	:	IL
Zip	:	60473-1591
Country	:	US
Telephone Number	:	708-331-1990
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ SHAYLA HOWARD ” Practice Location

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