NPIMap

Individual provider Active NPI

Mikhail Shulman, FNP-C

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1396309548
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277004987 Issued in IL
Practice address
5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Phone
(847) 920-0902
Fax
(888) 664-1191
NPI assigned
Apr 23, 2019
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277004987 IL Primary

Addresses

Primary practice location

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462

Mailing address

516 Drexel Ave
Glencoe, IL 60022-2105
Phone (847) 767-9045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190517001665 IL Practitioner - Nurse Practitioner 3971846759 Reassigns benefits to 6 organizations
I20230606003303 IN Practitioner - Nurse Practitioner 3971846759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians
RNS Health LLCGroup PAC ID 4789124306, 5 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6236
Phone (847) 920-0902

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 920-0902

6724 Lakeview CT
Woodridge, IL 60517-1437
Phone (773) 609-5603

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277004987ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hansamssp LLC CurrentSince Aug 19, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Apr 3, 2019 Accepting new patients
Sennogroup, SC CurrentSince Oct 1, 2019 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Mar 1, 2020 Accepting new patients
Ny Long-Term Care Physician Services, PC CurrentSince Jan 1, 2026 Accepting new patients
Hyong Kim MD Service Corporation CurrentSince Jan 1, 2025 Accepting new patients
RNS Health LLC CurrentSince Jan 2, 2026 Accepting new patients
Advanced Inpatient Consultants LLC CurrentSince Oct 15, 2019 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400

2773 Skokie Valley Rd
Highland Park, IL 60035
Phone (847) 266-9266

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

910 Skokie Blvd
Ste 201
Northbrook, IL 60062
Phone (212) 920-6357

3450 Oakton St
Ste 300
Skokie, IL 60076

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1396309548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DREXEL AVE",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600222105",
            "telephone_number": "847-767-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "847-920-0902",
            "fax_number": "888-664-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "MIKHAIL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.