Individual provider Active NPI

Quadrat Shareef, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1427104066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
4200 N Oak Park Ave
Chicago, IL 60634-1417
Phone
(773) 794-4000
Fax
(773) 794-4046
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

4200 N Oak Park Ave
Chicago, IL 60634-1417

Mailing address

4200 N Oak Park Ave
Chicago, IL 60634-1417
Phone (773) 794-4000

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
I20170308002012 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4385747450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099075ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Past Accepting new patients
Limra Medical Associates Group SC Family Medicine PastSince Jan 26, 2025 Accepting new patients
Illinois Department of Human Services Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427104066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341417",
            "telephone_number": "773-794-4000",
            "fax_number": "773-794-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341417",
            "telephone_number": "773-794-4000",
            "fax_number": "773-794-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAREEF",
        "first_name": "QUADRAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.