Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ricky D Shapiro, PAC

Individual provider Physician Assistant · NPI 1457330425

Ricky D Shapiro, PAC is a Physician Assistant in Park Ridge, Illinois. Qualified in 2003, 23 years ago. Practices with Allergy Partners PLLC, a 143-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2604 Dempster St Ste 204
Park Ridge, IL 60068-8426
Phone: (847) 635-7300
Fax: (847) 635-7556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.002100 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085002100 (IL)

Record details

NPI number1457330425
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing addressPo Box 603725, Charlotte, NC 28260-3725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Allergy Partners Pllc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Park Ridge