ERIC SHAPPELL (NPI# 1255771093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255771093 |
| Entity Type | Individual |
| Full Name | ERIC SHAPPELL |
| Credential | MD |
| Practice Address |
180 Harvester Dr Suite 110 Burr Ridge IL 60527 |
| Mailing Address |
5841 S Maryland Ave Mc 5068 Chicago IL 60637-1447 |
| Practice Telephone | 7737021150 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 274243 | MA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 036140049 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Fruit St # 110, Boston, MA 021142621 | 6177263936 | 6177260311 |
| Street Address |
180 HARVESTER DR SUITE 110 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386611903 | Bryan N Becker | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2006-03-02 |
| 1144639527 | Andrew Richardson | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2014-08-11 |
| 1720403843 | Joyce Eapen | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2014-02-26 |
| 1902234941 | Brittany Beach | Internal Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-10-30 |
| 1164850244 | Kimberly Salminen | Physician Assistant | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-10-28 |
| 1992139281 | Kristine Marie Bowersox | Physician Assistant | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-08-22 |
| 1467895805 | Monica Rojas | Dietitian, Registered | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2013-04-16 |
| 1699011189 | Leticia Lemus | Nurse Practitioner | 180 Harvester Dr, Burr Ridge, IL 60527-7594 | 2013-01-02 |
| 1487990156 | University of Chicago Physicians Group | Clinic/Center | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2012-12-27 |
| 1982959466 | Ann Eagan Arcese | Nurse Practitioner | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134226913 | James Henry Martin | Emergency Medicine | 8322 S County Line Rd, Burr Ridge, IL 60527-6376 | 2006-09-20 |
| 1205149952 | Kamaldeep Singh Heyer | Emergency Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2010-07-23 |
| 1902066251 | Gregg M. Helland | Emergency Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2008-06-11 |
| 1396911418 | Rebecca Lynn Dionisio | Emergency Medicine | 6800 N Frontage Rd, Burr Ridge, IL 60527-7819 | 2008-05-08 |
| 1528181401 | Thomas Francis Spiegel | Emergency Medicine | 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 | 2007-04-07 |
| 1851454375 | Janis Tupesis | Emergency Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1205999729 | Terry L Vanden Hoek | Emergency Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1669535183 | James J Walter | Emergency Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1811050339 | Cai Glushak | Emergency Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-18 |
| 1740342294 | Robert A Mulliken | Emergency Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-14 |
| Find all providers in BURR RIDGE | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.