Individual provider Active NPI

Lyubov Shapiro, NP

  • Nurse Practitioner
  • Arlington Heights, IL
National Provider Identifier
1356572697
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209007678 Issued in IL
Practice address
3115 N Wilke Rd
Ste a & B
Arlington Heights, IL 60004-1451
Phone
(224) 795-5700
Fax
(224) 795-5705
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209007678 IL Primary

Addresses

Primary practice location

3115 N Wilke Rd
Ste a & B
Arlington Heights, IL 60004-1451

Mailing address

315 S Naperville Rd
Wheaton, IL 60187-5423
Phone (630) 221-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000513 IL Practitioner - Nurse Practitioner 5597803841 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Medical and Diagnostic Center, SCGroup PAC ID 6709936859, 5 clinicians

Practice addresses (Care Compare)

1655 N Arlington Heights Rd
Suite 101W
Arlington Heights, IL 60004-3976
Phone (847) 870-8955

3115 N Wilke Rd
Suite C
Arlington Heights, IL 60004-1451
Phone (224) 329-5602

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Center of Illinois PLLC CurrentSince Feb 1, 2023 Accepting new patients
Absolute Medical & Diagnostic Center, SC CurrentSince Sep 21, 2020 Accepting new patients
Countryview Medical Center SC CurrentSince Sep 29, 2014 Accepting new patients
Illinois Back and Joint PLLC CurrentSince Jan 8, 2021 Accepting new patients
My Absolute Body Inc CurrentSince Sep 21, 2020 Accepting new patients
Arlington Heights Medical, SC Past Accepting new patients
International Vein & Skin Institute SC PastSince Jun 24, 2009 Accepting new patients

Locations

1655 N Arlington Heights Rd
Ste 101W
Arlington Heights, IL 60004
Phone (847) 305-3610

3115 N Wilke Rd
Ste C
Arlington Hts, IL 60004
Phone (224) 329-5602

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

11540 183rd Pl
Ste Se
Orland Park, IL 60467
Phone (708) 310-6733

1751 S Naperville Rd
Ste 107
Wheaton, IL 60189
Phone (630) 369-1015

315 S Naperville Rd
Wheaton, IL 60187
Phone (630) 492-1388

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1356572697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S NAPERVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875423",
            "telephone_number": "630-221-0200",
            "fax_number": "708-491-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N WILKE RD",
            "address_2": "STE A & B",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041451",
            "telephone_number": "224-795-5700",
            "fax_number": "224-795-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LYUBOV",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.