| Doctor Name: | MS. MERLE ROSE SHAPERA |
| NPI Number: | 1033242136 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,RD,CDE,LD |
| License Number: | 164000616 |
| Business Practice Address: | 1572 Maple Avenue Unit 604 Evanston, IL - 60201 |
| Business Phone Number: | 7084152693 |
| Business Fax Number: | 7087631014 |
| Mailing Address: | 1572 Maple Avenue, Unit 604 EVANSTON |
| State: | IL |
| Postal Code: | 60201 |
| Phone Number: | 7084152693 |
| Fax Number: | 7087631014 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164000616 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |