Active NPI
Elaine Shapiro, FNP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209011346
- Practice address
- 1645 W School St
Chicago, IL 60657-2157 - Phone
- (773) 227-3669
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209011346 | IL | Primary |
Addresses
Primary practice location
1645 W School St
Chicago, IL 60657-2157
Mailing address
540 N State St
Apt. 3108
Chicago, IL 60654-7231
Phone (513) 319-4562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011346 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Skypoint Medical Center, SC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Lakeview Immediate Care LLC | Past | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
3050 W 39th Pl
Chicago, IL 60632
Phone (773) 376-8008
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472
7732 Solutions Ctr
Chicago, IL 60677
1628 W Washington Blvd
Chicago, IL 60612
Phone (312) 355-7560
8131 S May St
Chicago, IL 60620
Phone (312) 365-5801
1102 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 301-7773
1140 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 385-4828
Interoperability endpoints
- https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
- eshapiro17465@uihealth.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1649461278
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669493466
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1952713323
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- Specialist
- Chicago, IL
- NPI 1720374283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1205247251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 N STATE ST",
"address_2": "APT. 3108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606547231",
"telephone_number": "513-319-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 W SCHOOL ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572157",
"telephone_number": "773-227-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "ELAINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209011346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.