Individual provider Active NPI

Phillip James Shaw, D.C.

  • Chiropractor
  • Wheeling, IL
National Provider Identifier
1053558775
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011339 Issued in IL
Practice address
41 Huntington LN
Wheeling, IL 60090-6908
Phone
(847) 850-7740
Fax
(847) 850-7745
NPI assigned
Jan 16, 2009
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011339 IL Primary

Addresses

Primary practice location

41 Huntington LN
Wheeling, IL 60090-6908

Mailing address

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523-1234
Phone (630) 320-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090818000489 IL Practitioner - Chiropractic 9234283706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Chiropractic Algonquin PLLCGroup PAC ID 7719324748, 4 clinicians

Practice addresses (Care Compare)

1946 S Randall Rd
Algonquin, IL 60102-0000
Phone (224) 333-0240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011339ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic Algonquin PLLC Chiropractor CurrentSince Jul 28, 2025 Accepting new patients
Chiro One Wellness Center of Wheeling, S.C. Chiropractor CurrentSince Jan 18, 2011 Accepting new patients
Evolve Chiropractic Lake Zurich PLLC Chiropractor CurrentSince Feb 27, 2025 Accepting new patients
Chiro One Wellness Center of Lake Zurich LLC Chiropractor PastSince Feb 27, 2025 Accepting new patients
Advanced Physical Medicine & Therapy, LTD. Chiropractor PastSince Feb 1, 2005 Accepting new patients
Advanced Physical Medicine & Therapy, LTD. PastSince Feb 14, 2021 Accepting new patients

Locations

1946 S Randall Rd
Algonquin, IL 60102
Phone (224) 333-0240

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

275 S Rand Rd
Ste A9
Lake Zurich, IL 60047
Phone (224) 662-4732

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

41 Huntington Ln
Wheeling, IL 60090
Phone (708) 484-6198

Organizations & group practices 6

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1053558775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-320-6400",
            "fax_number": "630-701-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HUNTINGTON LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906908",
            "telephone_number": "847-850-7740",
            "fax_number": "847-850-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PHILLIP",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.