Active NPI
Lemuel Joseph Shaffer, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036072466
- Practice address
- 2307-09 S Cicero Ave
Chicago, IL 60804-2451 - Phone
- (708) 780-9777
- Fax
- (708) 780-9787
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036072466 | IL | Primary |
Addresses
Primary practice location
2307-09 S Cicero Ave
Chicago, IL 60804-2451
Mailing address
2307-09 S Cicero Ave
Chicago, IL 60804-2451
Phone (708) 780-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients |
Locations
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1275605792
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Rural Acute Care Hospital
- Chicago, IL
- NPI 1104858125
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1124042338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307-09 S CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "608042451",
"telephone_number": "708-780-9777",
"fax_number": "708-780-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307-09 S CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "608042451",
"telephone_number": "708-780-9777",
"fax_number": "708-780-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "LEMUEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036072466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.