Shaperz Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHAPERZ INC

Practice address

3754 W 111TH St Unit B
Chicago, IL 60655-4008

Phone

(773) 658-5157

Fax

(708) 931-3446

NPI assigned

Jan 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn St. Victor-Luckett, APRNNPI 1114438249

Title

Owner

Phone

(773) 875-0069

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn St. Victor-Luckett, APN, FNP-BC

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1114438249
  NPD Authorized official

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1144981473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 S KEELER AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533407",
            "telephone_number": "773-875-0069",
            "fax_number": "708-931-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 W 111TH ST UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554008",
            "telephone_number": "773-658-5157",
            "fax_number": "708-931-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPERZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "ST. VICTOR-LUCKETT",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-875-0069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Shansky
• Shantharaj Samuel M.D.,S.C.
• Daming Shao
• Patricia W Shao, PHARMD
• Jessica Shape
• Rachel Shapira, SCM, LCGC
• Shapiro Surgical Associates (David M. Shapiro MD)
• Shapiro Surgical Associates SC
• Beth V Shapiro, LCSW
• Danielle Shapiro, LSW

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.