| Ms Merle Rose Shapera, MS,RD,CDE,LD | |
|
1572 Maple Avenue, Unit 604, Evanston, IL 60201 | |
| (708) 415-2693 | |
| (708) 763-1014 |
| Full Name | Ms Merle Rose Shapera |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1572 Maple Avenue, Evanston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033242136 | NPI | - | NPPES |
| 164.000616 | Other | IL | IL STATENUTRITION LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164000616 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 164.000616 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Merle Rose Shapera, MS,RD,CDE,LD 1572 Maple Avenue, Unit 604, Evanston, IL 60201 Ph: (708) 415-2693 | Ms Merle Rose Shapera, MS,RD,CDE,LD 1572 Maple Avenue, Unit 604, Evanston, IL 60201 Ph: (708) 415-2693 |
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