NPIMap

Individual provider Active NPI

Shawn George, DO

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1174150403
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.075568 Issued in IL
Practice address
500 E. 22ND Street
Suite a
Lombard, IL 60148
Phone
(630) 932-2055
Fax
(630) 932-2059
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.075568 IL Primary

Addresses

Primary practice location

500 E. 22ND Street
Suite a
Lombard, IL 60148

Mailing address

500 E. 22ND Street
Suite a
Lombard, IL 60148
Phone (630) 932-2055

Other practice location 1

6 E Phillip Rd Ste 1108
Vernon Hills, IL 60061-1700
Phone (847) 549-3979

Other practice location 2

500 E. 22nd Street
Suite A
Lombard, IL 60148
Phone (630) 932-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920003337 IL Practitioner - Internal Medicine 7012327703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew a Roth MD SCGroup PAC ID 1456543305, 4 clinicians

Practice addresses (Care Compare)

500 E 22ND St
Suite a
Lombard, IL 60148-6102
Phone (630) 932-2055

6 E Phillip Rd
Suite 1108
Vernon Hills, IL 60061-1700
Phone (847) 549-3979

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew a. Roth, M.D.,S.C. Internal Medicine CurrentSince Jul 7, 2024 Accepting new patients
Lodd Medical Group, S.C. CurrentSince Sep 5, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Yh Lisle LLC Internal Medicine Current Accepting new patients

Locations

500 E 22nd St
Ste A
Lombard, IL 60148
Phone (630) 620-8061

6 E Phillip Rd
Ste 1108
Vernon Hills, IL 60061
Phone (847) 549-3979

6 E Phillip Rd
Vernon Hills, IL 60061
Phone (847) 362-5353

Interoperability endpoints

  • Direct secure messaging: sgeorge126038@direct.luhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEADD

Organizations & group practices 4

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 5

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1174150403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E. 22ND STREET",
            "address_2": "SUITE A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E. 22ND STREET",
            "address_2": "SUITE A",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E Phillip Rd Ste 1108",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611700",
            "country_code": "US",
            "telephone_number": "847-549-3979",
            "fax_number": "224-206-7162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E. 22nd Street",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "60148",
            "country_code": "US",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SHAWN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.075568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.