NPIMap

Organization Active NPI

Shai Hills Medical & Diagnostic Group, LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1306019203
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036102126 Issued in IL
Legal business name
SHAI HILLS MEDICAL & DIAGNOSTIC GROUP, LTD
Practice address
5517 S Michigan Ave
Chicago, IL 60637-1012
Phone
(773) 643-4428
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
John Acquaye-Awah, MDNPI 1386660322
Title
Vice President
Phone
(773) 807-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 036102126 IL Primary

Addresses

Primary practice location

5517 S Michigan Ave
Chicago, IL 60637-1012

Mailing address

PO Box 7151
Westchester, IL 60154-7151
Phone (773) 807-0555

National Provider Directory

National Provider Directory

Locations

5517 S Michigan Ave
Lowr
Chicago, IL 60637
Phone (773) 643-4428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1306019203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7151",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601547151",
            "telephone_number": "773-807-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371012",
            "telephone_number": "773-643-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAI HILLS MEDICAL & DIAGNOSTIC GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "ACQUAYE-AWAH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-807-0555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036102126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.