Active NPI
Shayla Howard
- Prosthetist
- South Holland, IL
National Provider Identifier
1710820931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 011276703
- Practice address
- 16126 S Park Ave Ste 3
South Holland, IL 60473-1591 - Phone
- (708) 331-1990
- NPI assigned
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 011276703 | IL | Primary |
Addresses
Primary practice location
16126 S Park Ave Ste 3
South Holland, IL 60473-1591
Mailing address
5411 W Potomac Ave
Chicago, IL 60651-1314
Phone (312) 597-8463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011276703 | IL | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1710820931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 W POTOMAC AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606511314",
"telephone_number": "312-597-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16126 S PARK AVE STE 3",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604731591",
"telephone_number": "708-331-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "SHAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "IL",
"license": "011276703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.