Individual provider Active NPI

Erum Shah, PA-C

  • Physician Assistant
  • Skokie, IL
National Provider Identifier
1144871617
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010975 Issued in IL
Practice address
9977 Woods Dr
Skokie, IL 60077-1057
Phone
(216) 368-0575
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085010975 IL Primary

Addresses

Primary practice location

9977 Woods Dr
Skokie, IL 60077-1057

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514000285 IL Practitioner - Physician Assistant 8325566326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bespoke PsychiatryGroup PAC ID 3274951744, 51 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1203 W Augusta Blvd
Suite 1
Chicago, IL 60642-4327
Phone (773) 248-2255

2650 Ridge Ave
Evanston, IL 60201-1700

4914 N Clark St
Chicago, IL 60640-3515
Phone (224) 364-2273

920 Milwaukee Ave
Lincolnshire, IL 60069-3839
Phone (847) 866-7846

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085010975ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Apr 1, 2025 Accepting new patients

Locations

6071 N Lincoln Ave
Chicago, IL 60659

5238 N Broadway St
Chicago, IL 60640

6141 N Cicero Ave
Chicago, IL 60646
Phone (773) 293-8788

9532 Eagle Way
Chicago, IL 60678

4914 N Clark St
Chicago, IL 60640

3122 N Ashland Ave
Chicago, IL 60657
Phone (773) 687-7000

5211 W Lawrence Ave
Chicago, IL 60630
Phone (847) 644-9980

2323 W Lawrence Ave
Chicago, IL 60625

49 S Waukegan Rd
#100
Deerfield, IL 60015
Phone (847) 945-4575

1535 Ellinwood Ave
Des Plaines, IL 60016
Phone (773) 570-3337

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

524 Main St
Evanston, IL 60202

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

71 Waukegan Rd
Ste 800
Lake Bluff, IL 60044
Phone (847) 295-8500

920 Milwaukee Ave
Lincolnshire, IL 60069
Phone (847) 383-2700

1329 N Wolf Rd
Mt Prospect, IL 60056
Phone (847) 803-3040

1162 W Maple Ave
Mundelein, IL 60060
Phone (847) 367-2400

6450 W Touhy Ave
Fl 2
Niles, IL 60714
Phone (773) 293-4710

501 Skokie Blvd
Northbrook, IL 60062
Phone (847) 504-2300

211 Waukegan Rd
Ste 200
Northfield, IL 60093
Phone (847) 242-6600

1000 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 367-5400

3304 W Touhy Ave
Skokie, IL 60076

9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1144871617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "216-368-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ERUM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.