Active NPI
Wasif Shirazi, M.D.
- Hematology & Oncology Physician
- Tinley Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036099502
- 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, 2018
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036099502 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients | |
| Affiliated Oncologists, LLC | Hematology & Oncology | Current | Accepting new patients |
| Ahp Specialty Care NFP | Current | Accepting new patients | |
| Gynecological Cancer Institute of Chicago, LLC | Past | 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
- 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.
-
- Medical Oncology Physician
- Oak Lawn, IL
- NPI 1225314362
Hematology & Oncology
-
- Specialist
- Hinsdale, IL
- NPI 1619334406
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Gynecologic Oncology Physician
- Oak Lawn, IL
- NPI 1114318474
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396887774
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.