Individual provider Active NPI

Osama Shayeb, DC

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1205461829
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013518 Issued in IL
Practice address
533 S York St Ste D
Elmhurst, IL 60126-3951
Phone
(630) 833-4437
NPI assigned
Mar 4, 2020
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013518 IL Primary

Addresses

Primary practice location

533 S York St Ste D
Elmhurst, IL 60126-3951

Mailing address

533 S York St Ste D
Elmhurst, IL 60126-3951
Phone (630) 833-4437

Other names 1

  • Dr. Sama Shayeb Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038.013518ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altus Chiropractic LLC Chiropractor CurrentSince Mar 24, 2025 Accepting new patients
Elmhurst Olympic Service Corporation Chiropractor PastSince Mar 9, 2020 Accepting new patients

Locations

4231 W Bay To Bay Blvd
Tampa, FL 33629
Phone (813) 600-0618

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1205461829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S YORK ST STE D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263951",
            "telephone_number": "630-833-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S YORK ST STE D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263951",
            "telephone_number": "630-833-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYEB",
        "first_name": "OSAMA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMA",
            "last_name": "SHAYEB",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.