SHAY BOURGEOIS
NPI 1003564493
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Shay Bourgeois's NPI number?

The NPI number for Shay Bourgeois is 1003564493. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Q: What is Shay Bourgeois's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shay Bourgeois was last updated on May 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2022PECOS Enrolled

5841 S MARYLAND AVE # 8016, CHICAGO, IL 60637(773) 702-6435 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shay Bourgeois NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAY BOURGEOIS (NPI 1003564493) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003564493

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHAY BOURGEOIS

Location Address5841 S MARYLAND AVE # 8016Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6435

Sole ProprietorYes

Enumeration DateMarch 14, 2022

Last NPPES UpdateMay 3, 2023

NPPES CertifiedMay 3, 2023

✔ NPI 1003564493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # 8016, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shay Bourgeois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.