Steven Abu Shaqra, DOCTOR, PHD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

South Chicago Lab Suite # 5
8058 S. Western Ave
Chicago, IL 60620-2402

Phone

(815) 440-9285

NPI assigned

Dec 12, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Chicago Lab Limited

  • Clinical Laboratory Director (Non-physician)
  • Chicago Ridge, IL
  • NPI 1679165039

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1144816356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 S 84TH AVE",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651302",
            "telephone_number": "815-440-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH CHICAGO LAB SUITE # 5",
            "address_2": "8058 S. WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202402",
            "telephone_number": "815-440-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU SHAQRA",
        "first_name": "STEVEN",
        "credential": "DOCTOR, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abt Surgical Supply Co
• Matthew Farris Abts, MD
• Ahmad Abu Homoud
• Alaa H Abu Sabaa, DDS
• Lubna Abu Samra
• Esra Abu-Esba, DPM
• Lena K Abu-Safieh
• Nader Abu-Seraj, D.M.D
• Ala'a Abu-Spetani
• Reema Abu-Taleb

• Clinical Laboratory Director (Non-physician) in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Laboratory Director (Non-physician) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.