Individual provider Active NPI

Scott L Chaney, PAC

  • Medical Physician Assistant
  • Evanston, IL
National Provider Identifier
1174707004
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
355 Ridge Ave
Saint Francis Hospital Physician Assistance
Evanston, IL 60202-3328
Phone
(847) 316-6370
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X IL Primary

Addresses

Primary practice location

355 Ridge Ave
Saint Francis Hospital Physician Assistance
Evanston, IL 60202-3328

Mailing address

947 Harris Rd
Grayslake, IL 60030-3549
Phone (847) 316-3149

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
I20191112003289 IL Practitioner - Physician Assistant 0749612711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Practice addresses (Care Compare)

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waukegan Clinic Corp CurrentSince Sep 9, 2025 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Sep 27, 2023 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Sep 9, 2025 Accepting new patients

Locations

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

15 Tower Ct
Ste 210
Gurnee, IL 60031
Phone (847) 599-1444

200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660

1025 Red Oak Ln
Ste 120
Lindenhurst, IL 60046
Phone (847) 245-4601

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

1616 Grand Ave
Ste A
Waukegan, IL 60085
Phone (847) 249-1733

Interoperability endpoints

  • Direct secure messaging: scott.chaney.2@2069.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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 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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1174707004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 HARRIS RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303549",
            "telephone_number": "847-316-3149",
            "fax_number": "847-316-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "address_2": "SAINT FRANCIS HOSPITAL PHYSICIAN ASSISTANCE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "847-316-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.