Individual provider Active NPI

Elaine Shapiro, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1205247251
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011346 Issued in IL
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

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209011346ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 1, 2016 Accepting new patients
Skypoint Medical Center, SC CurrentSince Jan 1, 2015 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 CurrentSince Apr 1, 2016 Accepting new patients
Lakeview Immediate Care LLC PastSince Jun 19, 2012 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

  • FHIR API: https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.