Individual provider Active NPI

Mohamed Shalabi, D.C.

  • Chiropractor
  • Bridgeview, IL
National Provider Identifier
1285649046
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009550 Issued in IL
Practice address
8550 S Harlem Ave
Suite B
Bridgeview, IL 60455-1770
Phone
(708) 598-2000
Fax
(708) 598-2002
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009550 IL Primary

Addresses

Primary practice location

8550 S Harlem Ave
Suite B
Bridgeview, IL 60455-1770

Mailing address

12750 S Harlem Ave
Palos Heights, IL 60463-2173
Phone (708) 598-2000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009550ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1285649046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632173",
            "telephone_number": "708-598-2000",
            "fax_number": "708-598-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 S HARLEM AVE",
            "address_2": "SUITE B",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551770",
            "telephone_number": "708-598-2000",
            "fax_number": "708-598-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALABI",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.