Individual provider Active NPI

Shazel Gharbi, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1134449713
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.128691 Issued in IL
Practice address
1341 N Sedgwick St
Chicago, IL 60610-1818
Phone
(312) 643-1689
Fax
(312) 643-1689
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036.128691 IL
Internal Medicine Physician 207R00000X 036.128691 IL Primary

Addresses

Primary practice location

1341 N Sedgwick St
Chicago, IL 60610-1818

Mailing address

1341 N Sedgwick St
Chicago, IL 60610-1818
Phone (312) 643-1689

Other practice location 1

2266 N Lincoln Ave Ste 2
Chicago, IL 60614-7601
Phone (312) 882-0700

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

State licenses

LicenseStateTypeSpecialty
036.128691ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Feb 15, 2018 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jan 8, 2018 Accepting new patients
Hospitalist Medicine Physicians of Illinois - Rockford, LLC Internal Medicine CurrentSince Oct 9, 2018 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 21, 2018 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134449713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N SEDGWICK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101818",
            "telephone_number": "312-643-1689",
            "fax_number": "312-643-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N SEDGWICK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101818",
            "telephone_number": "312-643-1689",
            "fax_number": "312-643-1689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2266 N Lincoln Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606147601",
            "country_code": "US",
            "telephone_number": "312-882-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHARBI",
        "first_name": "SHAZEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.128691",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.128691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.