Shape Up Medical Center LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SHAPE UP MEDICAL CENTER LTD

Practice address

1315 Macom Dr Ste 207
Naperville, IL 60564-9361

Phone

(630) 820-0800

NPI assigned

Dec 18, 2017

Organization subpart

No

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

Authorized official

Name

Christopher Lomax

Title

Director of Clinic Operations

Phone

(331) 256-5444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1285140913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 207",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649361",
            "telephone_number": "331-256-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 207",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649361",
            "telephone_number": "630-820-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPE UP MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "LOMAX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "331-256-5444"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Shalley, PSY. D.
• Mohammed Shams
• Amy Marie Shanahan, MA SLP
• Erin L Shanks, MD
• Shobana U Shanmugavelayutham
• Wasay Sharif, PA-C
• Archana Sharma
• Kristie Lynn Sharon, MSW, LSW
• Sharshon Pharmacy Inc (Easy Care Pharmacy)
• Bimal H Shastri

• General Practice Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.