Individual
SHIVANI NAGPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 ENTERPRISE DR STE 5501, WESTCHESTER, IL 60154-5808
(708) 965-4123
Mailing address
2556 W ARMITAGE AVE APT 203, CHICAGO, IL 60647-6771
(216) 534-0426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119008815
VA
225X00000X
Occupational Therapist
022897
NY
225X00000X
Occupational Therapist
11038
NC
225X00000X
Occupational Therapist
OT009805
OH
225XP0200X
Pediatric Occupational Therapist
Primary
056.014822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
01
—
AB7360731
MEDICARE PIN
OH
Enumeration date
06/20/2017
Last updated
01/13/2023
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