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Search › Illinois › 133V00000X

Jessica Shape

NPI 1992189724 · on the registry since 2015

Practice

Address
710 N Fairbanks Ct
Chicago, IL 60611
Phone
(312) 926-4082
Organisation at this address
Norhwestern Medicine
Northwestern Health Care
Dialysis Centers Of America - Illinois, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois