Active NPI
James Shehorn, AUDIOLOGIST
- Audiologist
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.001825
- Practice address
- 101 Burr Ridge Pkwy Ste 150
Burr Ridge, IL 60527-0877 - Phone
- (630) 321-3555
- Fax
- (630) 908-5159
- NPI assigned
- Mar 23, 2018
- Last updated
- Sep 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.001825 | IL | Primary |
Addresses
Primary practice location
101 Burr Ridge Pkwy Ste 150
Burr Ridge, IL 60527-0877
Mailing address
101 Burr Ridge Pkwy Ste 150
Burr Ridge, IL 60527-0877
Phone (630) 321-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.001825 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Americans for Better Hearing Foundation | Audiologist | Current | Accepting new patients |
Locations
100 Tower Dr
Ste 101
Burr Ridge, IL 60527
Phone (630) 321-3555
101 Burr Ridge Pkwy
Ste 150
Burr Ridge, IL 60527
Phone (630) 321-3555
7630 S County Line Rd
Burr Ridge, IL 60527
Phone (630) 321-3555
3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000
500 S Walnut St
Momence, IL 60954
Phone (815) 308-0850
Organizations & group practices 1
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": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631318400000",
"number": "1538663455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BURR RIDGE PKWY STE 150",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270877",
"telephone_number": "630-321-3555",
"fax_number": "630-908-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BURR RIDGE PKWY STE 150",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270877",
"telephone_number": "630-321-3555",
"fax_number": "630-908-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHORN",
"first_name": "JAMES",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-23",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.