Shahbain Internal Medicine LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36085113 Issued in IL

Legal business name

SHAHBAIN INTERNAL MEDICINE LTD

Practice address

12508 S Harlem Ave
Suite C
Palos Heights, IL 60463-1597

Phone

(708) 349-0055

NPI assigned

Oct 23, 2007

Last updated

Mar 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdul Shahbain, M.D.

Title

Owner

Phone

(708) 349-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shakir Moiduddin, MD

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1295810547
  Medicare reassignment Care Compare group
• Abdul-Hamid Mohammed Shahbain, MD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1023032646
  Medicare reassignment Care Compare group
• Ivona Barton, NP-C

  • Nurse Practitioner
  • Romeoville, IL
  • NPI 1699385088
  Medicare reassignment
• Lisa M De Zoute, APRN, CNP

  • Gerontology Nurse Practitioner
  • Chicago, IL
  • NPI 1730569088
  Medicare reassignment
• Ghassan Rahhal, MD

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1942225909
  Medicare reassignment
• Sumera Seraj

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1073065991
  Medicare reassignment
• Mark David Zenke, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Morris, IL
  • NPI 1801345707
  Medicare reassignment
• Suling Li

  • Family Nurse Practitioner
  • Morris, IL
  • NPI 1437798436
  NPD
• Cesario Monsanto Cumba, M.D.

  • Family Medicine Physician
  • Morris, IL
  • NPI 1811062300
  NPD (past)
• Choongkoon Jane Lee, MD

  • Internal Medicine Physician
  • Morris, IL
  • NPI 1497761811
  NPD (past)
• Jennifer Mendaluk, FNP, APN

  • Nurse Practitioner
  • Peoria, IL
  • NPI 1336706845
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1295924439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621982",
            "telephone_number": "708-460-4499",
            "fax_number": "708-460-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12508 S HARLEM AVE",
            "address_2": "SUITE C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631597",
            "telephone_number": "708-349-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHBAIN INTERNAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "SHAHBAIN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-349-0055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36085113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sentinel Anesthesia of Illinois, PC
• Sumera Seraj
• Christina Marie Serdar, FNP-BC
• Niranjan Champaklal Shah, MD
• Nirav A. Shah, MD
• Abdul-Hamid Mohammed Shahbain, MD
• Marco Shaker, MD MS
• Amy J Shanahan, LCSW
• Lindsay Shanahan, APN
• Sarah Sheets

• Internal Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.