Provider Demographics
NPI:1124426986
Name:IRA L SHAPIRA DENTAL SLEEP MEDICINE LTD
Entity type:Organization
Organization Name:IRA L SHAPIRA DENTAL SLEEP MEDICINE LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHAPIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-421-8313
Mailing Address - Street 1:3500 WESTERN AVE
Mailing Address - Street 2:STE 100B
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1263
Mailing Address - Country:US
Mailing Address - Phone:847-421-8313
Mailing Address - Fax:
Practice Address - Street 1:3500 WESTERN AVE
Practice Address - Street 2:STE 100B
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1263
Practice Address - Country:US
Practice Address - Phone:847-421-8313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment