Individual provider Active NPI

Rashid A. Abu-Shanab, D.C.

  • Chiropractor
  • Bridgeview, IL
National Provider Identifier
1033298591
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008510 Issued in IL
Practice address
7124 W 83Rd St
Suite B
Bridgeview, IL 60455-4024
Phone
(708) 599-9250
Fax
(708) 599-9470
NPI assigned
Nov 3, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008510 IL Primary

Addresses

Primary practice location

7124 W 83Rd St
Suite B
Bridgeview, IL 60455-4024

Mailing address

7124 W 83Rd St
Suite B
Bridgeview, IL 60455-4024
Phone (708) 599-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000947 IL Practitioner - Chiropractic 9234128984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7124 W 83Rd St
Unit B
Bridgeview, IL 60455-4034
Phone (708) 599-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038008510ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Associates, LTD Chiropractor CurrentSince May 8, 2004 Accepting new patients
Koah Chiropractic LLC Chiropractor PastSince Sep 15, 2024 Accepting new patients

Locations

7325 W 87th St
Bridgeview, IL 60455
Phone (708) 599-9250

600 S Weber Rd
Ste 9A
Romeoville, IL 60446
Phone (815) 293-3000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1033298591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST",
            "address_2": "SUITE B",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554024",
            "telephone_number": "708-599-9250",
            "fax_number": "708-599-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W 83RD ST",
            "address_2": "SUITE B",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604554024",
            "telephone_number": "708-599-9250",
            "fax_number": "708-599-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-SHANAB",
        "first_name": "RASHID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.