Shotfairy.Com LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4000255 Issued in IL

Legal business name

SHOTFAIRY.COM LLC

Practice address

3135 S Giles Ave
Chicago, IL 60616-3937

Phone

(312) 328-7468

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Hanlon

Title

Director of Human Resources

Phone

(312) 328-7468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1487987517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166593",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606166593",
            "telephone_number": "312-328-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 S GILES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163937",
            "telephone_number": "312-328-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOTFAIRY.COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "312-328-7468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashon Shorty
• Yosef Shoshana, PSYD
• Ohad Shoshany, M.D.
• Daniel Shotaro-Nakaji Monnier, RN
• Jared Shotel
• Sara Shotsberger, LCSW
• Chelsea Shotwell Tabke, PHD
• Martina Shoukralla, MD
• Carissa Shoultz, RBT-17-38260
• Alissa Shoup, PHARM D

• Nursing Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.