Individual provider Active NPI

Craig V Showalter, MD

  • Addiction Psychiatry Physician
  • Northfield, IL
National Provider Identifier
1548299340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Practice address
1829 Winnetka Ave
Northfield, IL 60093-3256
Phone
(847) 446-6464
Fax
(847) 446-9898
NPI assigned
Jul 2, 2006
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
Addiction Psychiatry Physician 2084P0802X IL Primary

Addresses

Primary practice location

1829 Winnetka Ave
Northfield, IL 60093-3256

Mailing address

1829 Winnetka Ave
Northfield, IL 60093-3256
Phone (847) 446-6464

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
I20120117000269 IL Practitioner - Addiction Medicine 9133396195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Northwestern University Feinberg Medical School, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LakeGroup PAC ID 7214838861, 42 clinicians

Practice addresses (Care Compare)

2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8800

2410 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8686

3002 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8180

3004 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8120

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-4650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036051008ILMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
Cap of Downers Grove, Inc CurrentSince Oct 21, 2021 Accepting new patients
Center for Addictive Problems, Inc CurrentSince Oct 21, 2021 Accepting new patients
County of Lake CurrentSince Jun 24, 2023 Accepting new patients
County of Lake CurrentSince Mar 9, 2010 Accepting new patients
County of Lake CurrentSince Jun 24, 2023 Accepting new patients

Locations

609 N Wells St
Chicago, IL 60654
Phone (312) 266-0404

4954 Main St
Downers Grove, IL 60515
Phone (630) 801-0186

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Interoperability endpoints

  • Direct secure messaging: craig.showalter.p1@direct.lakecountyil.nextgenshare.com

Organizations & group practices 6

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548299340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 WINNETKA AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933256",
            "telephone_number": "847-446-6464",
            "fax_number": "847-446-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 WINNETKA AVE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933256",
            "telephone_number": "847-446-6464",
            "fax_number": "847-446-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "CRAIG",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.