Individual provider · Type 1 NPI

Ricky D. Shapiro, PA C

Physician Assistant · Park Ridge, IL

NPI number 1457330425 Active

Practice location

2604 Dempster St Ste 204
Park Ridge, IL 60068-8426

Call (847) 635-7300 Map

Fax (847) 635-7556

Mailing address

PO Box 603725
Charlotte, NC 28260-3725

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	085002100 (IL)
Physician Assistant Primary	363A00000X	085.002100 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1457330425

Ricky D. Shapiro, PA C's National Provider Identifier is 1457330425, issued on Jan 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Park Ridge, IL. The record was last updated on Jul 23, 2025.