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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANTA D AMICKS

Active Sole Proprietor

SHANTA D AMICKS is a Clinical Medical Laboratory healthcare provider located in HARVEY, Illinois. NPI 1881443802 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · HARVEY, IL

Registration Details

NPI Number
1881443802
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2024 (2.2111638556662 yrs)
Last Updated
Jun 20, 2024
Sole Proprietor
Yes

Practice Information

Address
147 W 150TH ST
HARVEY, IL, 60426
Browse IL providers · Browse ZIP 60426
Phone
7085398585
Primary Specialty
Clinical Medical Laboratory
291U00000X
Additional Specialty
Home Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.