Individual provider Active NPI

Lemuel Joseph Shaffer, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1124042338
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036072466 Issued in IL
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

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jul 20, 2019 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 13, 2019 Accepting new patients
Access Community Health Network CurrentSince Jul 1, 2002 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Jul 1, 2002 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 13, 2019 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.

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

Verify at the official NPI Registry.