Individual provider Active NPI

Wasif Shirazi, M.D.

  • Hematology & Oncology Physician
  • Tinley Park, IL
National Provider Identifier
1558336149
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036099502 Issued in IL
Practice address
17333 La Grange Rd Ste 200
Tinley Park, IL 60487-7510
Phone
(708) 342-1900
Fax
(708) 745-9993
NPI assigned
Feb 17, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036099502 IL Primary

Addresses

Primary practice location

17333 La Grange Rd Ste 200
Tinley Park, IL 60487-7510

Mailing address

17333 La Grange Rd
Ste 200
Tinley Park, IL 60487-7510
Phone (708) 342-1900

Other practice location 1

12150 S Harlem Ave
Palos Heights, IL 60463-1435
Phone (708) 361-4778

Other practice location 2

12150 S Harlem Ave
Palos Heights, IL 60463-1435
Phone (708) 745-9985

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
I20090331000075 IL Practitioner - Hematology/Oncology 8628015344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affiliated Oncologists LLCGroup PAC ID 2365606563, 43 clinicians

Practice addresses (Care Compare)

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-5475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099502ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jul 4, 2025 Accepting new patients
Affiliated Oncologists, LLC Hematology & Oncology CurrentSince Jul 1, 2020 Accepting new patients
Ahp Specialty Care NFP CurrentSince Jul 1, 2021 Accepting new patients
Gynecological Cancer Institute of Chicago, LLC PastSince Apr 1, 2015 Accepting new patients
Mobile Anesthesiologists Chicago LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

62647 Collection Ctr Dr
Chicago, IL 60693
Phone (708) 478-4302

10604 Southwest Hwy
Ste 106A
Chicago Ridge, IL 60415

10604 Southwest Hwy
Ste 109
Chicago Ridge, IL 60415
Phone (708) 422-3242

10604 Southwest Hwy
Ste 200
Chicago Ridge, IL 60415
Phone (708) 634-4644

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

3825 Highland Ave
Ste 307
Downers Grove, IL 60515
Phone (708) 422-3242

17850 Kedzie Ave
Ste 1500
Hazel Crest, IL 60429
Phone (708) 799-7780

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

333 Madison St
Ste Cc
Joliet, IL 60435
Phone (815) 773-7439

19060 Everett Blvd
Unit 112
Mokena, IL 60448
Phone (708) 346-4040

1890 Silver Cross Blvd
Ste 535
New Lenox, IL 60451
Phone (708) 382-0544

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

6700 W 95th St
Ste 330
Oak Lawn, IL 60453
Phone (708) 422-3242

82 Orland Square Dr
Orland Park, IL 60462
Phone (224) 273-3590

12150 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 361-4778

17333 La Grange Rd
Ste 200
Tinley Park, IL 60487
Phone (708) 342-1900

Interoperability endpoints

  • Direct secure messaging: wasif.shirazi@affiliatedoncologists.ikm.direct-ci.com

Organizations & group practices 5

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 9

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1558336149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD",
            "address_2": "STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-342-1900",
            "fax_number": "708-745-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 LA GRANGE RD STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877510",
            "telephone_number": "708-342-1900",
            "fax_number": "708-745-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631435",
            "country_code": "US",
            "telephone_number": "708-361-4778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12150 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631435",
            "country_code": "US",
            "telephone_number": "708-745-9985",
            "fax_number": "708-745-9993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "WASIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036099502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.