Shapiro, Ricky D

Shapiro, Ricky D is an individual health care provider with primary practice located at 2604 Dempster St Ste 204 , Park Ridge IL 60068-8426. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shapiro, Ricky D can be contacted via phone (847) 635-7300.

Contact Information

Primary practice address
2604 Dempster St Ste 204 Park Ridge IL 60068-8426
Phone: (847) 635-7300
Fax: (847) 635-7556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002100 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.002100 Illinois

Profile Details

NPI number 1457330425
LBN Legal business name Shapiro, Ricky D
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457330425 NPPES
Illinois Other IL7072002 MEDICARE PTAN
Illinois Other IL7073002 MEDICARE PTAN
Illinois MEDICAID 085002100 MEDICARE PTAN

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