Individual
MS. MERLE ROSE SHAPERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDE,LD
Contact information
Practice address
1572 MAPLE AVENUE, UNIT 604, EVANSTON, IL 60201
(708) 415-2693
(708) 763-1014
Mailing address
1572 MAPLE AVENUE, UNIT 604, EVANSTON, IL 60201
(708) 415-2693
(708) 763-1014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000616
IL
133V00000X
Registered Dietitian
164000616
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.000616
IL STATENUTRITION LICENSE
IL
Enumeration date
03/14/2007
Last updated
07/02/2014
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