Active NPI
Taiya Shevelev, DO
- Obstetrics & Gynecology Physician
- Wheeling, IL
National Provider Identifier
1659373355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036101744
- Practice address
- 201 E Strong St
Wheeling, IL 60090-2979 - Phone
- (847) 419-1900
- Fax
- (847) 419-1964
- NPI assigned
- Aug 11, 2005
- Last updated
- Sep 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036101744 | IL | Primary |
Addresses
Primary practice location
201 E Strong St
Wheeling, IL 60090-2979
Mailing address
3230 Highland Rd
Northbrook, IL 60062-6905
Phone (847) 419-1900
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101744 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Healthfirst L.L.C | Obstetrics & Gynecology | Past | Accepting new patients |
| Yr Medical Group S C | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Wheeling, IL
- NPI 1568651339
-
- Obstetrics & Gynecology Physician
- Buffalo Grove, IL
- NPI 1710959721
-
- Internal Medicine Physician
- Wheeling, IL
- NPI 1932398708
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": "1220832000000",
"number": "1659373355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 HIGHLAND RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626905",
"telephone_number": "847-419-1900",
"fax_number": "847-419-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E STRONG ST",
"city": "WHEELING",
"state": "IL",
"postal_code": "600902979",
"telephone_number": "847-419-1900",
"fax_number": "847-419-1964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEVELEV",
"first_name": "TAIYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036101744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.