Individual provider Active NPI

Shalini Chawla, M.D.

  • Psychiatry Physician
  • Westmont, IL
National Provider Identifier
1255534483
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036118699 Issued in IL
Practice address
519 N Cass Ave
Suite 204
Westmont, IL 60559-1514
Phone
(630) 541-9560
Fax
(630) 541-8381
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036118699 IL
Psychiatry Physician 2084P0800X 036118699 IL Primary

Addresses

Primary practice location

519 N Cass Ave
Suite 204
Westmont, IL 60559-1514

Mailing address

3023 N Clark St
Suite 239
Chicago, IL 60657-5200
Phone (773) 296-7147

Other identifiers 1

IdentifierTypeStateIssuer
036118699MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000589 IL Practitioner - Psychiatry 6709978950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3000 N Halsted St
Chicago, IL 60657-5196
Phone (773) 698-6417

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118699ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shalini Chawla MD Psychiatry CurrentSince Jun 29, 2011 Accepting new patients
Shalini Chawla MD Psychiatry CurrentSince Jun 29, 2011 Accepting new patients
Mugen Psychiatry LLC Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Oak Forest Psychological Service Psychiatry Past Accepting new patients
Chicago Physician Associates,LLC Psychiatry PastSince Oct 1, 2009 Accepting new patients
Dixon F Spivy MD, LLC Psychiatry Past Accepting new patients

Locations

3023 N Clark St
Ste 239
Chicago, IL 60657

3000 N Halsted St
Ste 607
Chicago, IL 60657
Phone (773) 296-3456

3000 N Halsted St
Ste 709
Chicago, IL 60657
Phone (630) 541-9560

3023 N Clark St
#593
Chicago, IL 60657
Phone (205) 427-9243

519 N Cass Ave
Ste 204
Westmont, IL 60559
Phone (630) 541-9560

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1255534483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N CLARK ST",
            "address_2": "SUITE 239",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575200",
            "telephone_number": "773-296-7147",
            "fax_number": "773-296-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N CASS AVE",
            "address_2": "SUITE 204",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591514",
            "telephone_number": "630-541-9560",
            "fax_number": "630-541-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036118699",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036118699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118699",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.