Provider Demographics
NPI:1356821979
Name:SHOPINSKY, HEATHER M (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:M
Last Name:SHOPINSKY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 BUNKER HILL DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-6282
Mailing Address - Country:US
Mailing Address - Phone:847-271-8398
Mailing Address - Fax:
Practice Address - Street 1:4180 BUNKER HILL DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-6282
Practice Address - Country:US
Practice Address - Phone:847-271-8398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.017047363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily