Laura Shahtaji

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000805 Issued in IL

Practice address

4928 W 95TH St
Oak Lawn, IL 60453-2504

Phone

(708) 424-0143

Fax

(708) 425-8833

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Sportolari Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1962456566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE",
            "address_2": "STE 126",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213633",
            "telephone_number": "630-325-6133",
            "fax_number": "630-325-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-424-0143",
            "fax_number": "708-425-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHTAJI",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SPORTOLARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rajendra R Shah, M.D.
• Saloni Shah, MD
• Sunil Shah, D.O.
• Sunny Sanjay Shah, MD
• Ayesha N. Shahid, DO
• Harris Shaikh, DO
• Rahul O. Shaju, DO
• Ida Shalabi, PHARMD
• Yara Shams
• Lauren Shanahan

• Audiologist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.