Provider Demographics
NPI:1831068121
Name:SHAYAARE COLLECTION LLC
Entity type:Organization
Organization Name:SHAYAARE COLLECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAYAA
Authorized Official - Middle Name:SUZAN
Authorized Official - Last Name:ISSAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-201-5774
Mailing Address - Street 1:7950 PRESTON RD APT 3022
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2807
Mailing Address - Country:US
Mailing Address - Phone:310-925-0036
Mailing Address - Fax:
Practice Address - Street 1:7950 PRESTON RD APT 3022
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2807
Practice Address - Country:US
Practice Address - Phone:310-925-0036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier