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NPI Code Detail

MEDICARE: MRS. KIMBERLY A SHAPIRO APRN, CNP

MEDICARE: MRS. KIMBERLY A SHAPIRO APRN, CNP
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
1363L00000XNurse Practitioner209017622IL
2363LF0000XFamily Nurse Practitioner209.017622IL

General Provider Information

NPI Number : 1871083451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY A SHAPIRO APRN, CNP
Provider Business Mailing Address
First Line : 4309 W MEDICAL CENTER DR STE A200
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8437
Country : US
Telephone Number : 815-759-8070
Fax Number : 815-759-4931
Provider Business Practice Location Address
First Line : 4309 W MEDICAL CENTER DR STE A200
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8437
Country : US
Telephone Number : 815-759-8070
Fax Number : 815-759-4931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2018
Last Update Date : 01/13/2026

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