Individual provider Active NPI

Shari L. Schabowski, M.D.

  • Emergency Medicine Physician
  • Melrose Park, IL
National Provider Identifier
1477555241
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01079748A Issued in IN
Practice address
1225 W Lake St
Westlake Hospital Emergency Department
Melrose Park, IL 60160-4039
Phone
(708) 681-3000
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01079748A IN Primary
Emergency Medicine Physician 207P00000X 036088987 IL

Addresses

Primary practice location

1225 W Lake St
Westlake Hospital Emergency Department
Melrose Park, IL 60160-4039

Mailing address

3702 New Vision Dr
BLDG B
Fort Wayne, IN 46845-1703
Phone (260) 266-8210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sschabowsk@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060109000975 IL Practitioner - Emergency Medicine 9234152968 Reassigns benefits to 3 organizations
I20180518002216 IN Practitioner - Emergency Medicine 9234152968 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088987ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Mar 12, 2018 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Feb 25, 2015 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 12, 2018 Accepting new patients
Community Hospital of Lagrange County Inc Current Accepting new patients
Cook County Current Accepting new patients
Cook County Emergency Medicine CurrentSince Aug 3, 2017 Accepting new patients
Cook County CurrentSince Aug 3, 2017 Accepting new patients
Horizon Emergency Physician Group, LTD Emergency Medicine Past Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients
Macneal Physicians Group LLC Past Accepting new patients
West Suburban Medical Center Past Accepting new patients

Locations

25706 Network Pl
Chicago, IL 60673

75 Remittance Dr
Dept 1620
Chicago, IL 60675

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

Interoperability endpoints

  • Direct secure messaging: sschabowsk@direct.ccprovider.org
  • Direct secure messaging: sschabowski49007@direct.rush.rush-health.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1477555241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 NEW VISION DR",
            "address_2": "BLDG B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703",
            "telephone_number": "260-266-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W LAKE ST",
            "address_2": "WESTLAKE HOSPITAL EMERGENCY DEPARTMENT",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604039",
            "telephone_number": "708-681-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABOWSKI",
        "first_name": "SHARI",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01079748A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036088987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sschabowsk@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.