Most Relevant Information
Provider Data
| NPI Number: | 1003507849 |
| Provider Name: | ELYCE RENEE SHAPIRO LDN, CNS |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | 164.009200 |
Most Important Dates
| Enumeration Date: | 05/15/2023 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
418 W ARMITAGE AVE
CHICAGO
IL
606144513
Practice Location Phone/Fax
| Phone: | 7733504716 |
| Fax: |
Provider Mailing Location
418 W ARMITAGE AVE
CHICAGO
IL
606144513
Provider Mailing Phone/Fax
| Phone: | 7733504716 |
| Fax: |