Shirelake Group LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019025221 Issued in IL

Legal business name

SHIRELAKE GROUP LLC

Practice address

430 Milwaukee Ave
#7
Lincolnshire, IL 60069-3015

Phone

(847) 478-9640

Fax

(847) 478-9642

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Fatemeh Afshar, D.D.SNPI 1396078978

Title

Owner Ceo

Phone

(847) 478-9640

Specialties & licenses 1

Addresses

Other names 1

• Lincolnshire Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatemeh Afshar, DDS

  • General Practice Dentistry
  • Lincolnshire, IL
  • NPI 1396078978
  NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508084823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "#7",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-478-9640",
            "fax_number": "847-478-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "#7",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-478-9640",
            "fax_number": "847-478-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRELAKE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "FATEMEH",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "847-478-9640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincolnshire Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth L Sekey, LCSW
• Senior Care Physicians of Illinois, S.C.
• Mithil Shah, PHARM.D.
• Dov Y Shapiro
• Sydney Ruth Sheets, PA
• Photini Sikaras, MS, LCPC
• Amber Siler-Knogl, PSY.D.
• Natalia L Simkin
• Marc C Sing, D.C.
• Rajeshree Singla

• Dentist in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.