Active NPI
Shamsu K Raheem, DC
- Sports Physician Chiropractor
- Chicago, IL
National Provider Identifier
1821175399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 14-1925106
- Practice address
- 231 E 75TH St
Suite 2
Chicago, IL 60619-2267 - Phone
- (773) 651-8010
- Fax
- (773) 651-8047
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 14-1925106 | IL | Primary |
Addresses
Primary practice location
231 E 75TH St
Suite 2
Chicago, IL 60619-2267
Mailing address
231 E 75TH St
Suite 2
Chicago, IL 60619-2267
Phone (773) 651-8010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1635092 | Other | IL | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirospaaah | Past | Accepting new patients | |
| Serenity Chiropractic Limited | Past | Accepting new patients | |
| Bright Sun Health Care, Inc | Sports Physician | 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 and National Provider Directory roles.
-
- Independent Medical Examiner Chiropractor
- Calumet City, IL
- NPI 1891964375
Sports Physician
-
- Chiropractor
- South Holland, IL
- NPI 1548452725
-
- Clinic/Center
- South Holland, IL
- NPI 1700122819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1821175399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E 75TH ST",
"address_2": "SUITE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606192267",
"telephone_number": "773-651-8010",
"fax_number": "773-651-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E 75TH ST",
"address_2": "SUITE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606192267",
"telephone_number": "773-651-8010",
"fax_number": "773-651-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHEEM",
"first_name": "SHAMSU",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "14-1925106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1635092",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.