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RICKY D SHAPIRO PA C

Allergy and Immunology

Des Plaines, Illinois

Provider NPI: 1457330425

Provider Information:
 RICKY D SHAPIRO PA C


Practice Location:
9301 GOLF RD # 301 DES PLAINES, IL 60016 US
Tel: 847-635-7300  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
IL085002100

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTANIL7072002IL01
MEDICARE PTANIL7073002IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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