Active NPI
Shawn Cyril Joseph, M.D.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.146513
- Practice address
- 1044 N Francisco Ave
Chicago, IL 60622-2743 - Phone
- (630) 346-4693
- NPI assigned
- Apr 29, 2015
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.146513 | IL | Primary |
Addresses
Primary practice location
1044 N Francisco Ave
Chicago, IL 60622-2743
Mailing address
530 N Lake Shore Dr Apt 1703
Chicago, IL 60611-7431
Phone (630) 346-4693
Other practice location 1
2200 E Washington St
Bloomington, IL 61701-4364
Phone (630) 346-4693
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
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146513 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mea Chicago PC | Emergency Medicine | Current | Accepting new patients |
| Bloomington Medical Laboratory Physicians, S.C. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Em Strategies,LTD. | Emergency Medicine | Current | Accepting new patients |
| St Joseph Medical Center | Current | Accepting new patients | |
| St Joseph Medical Center | Emergency Medicine | Current | Accepting new patients |
| St Joseph Medical Center | Current | Accepting new patients |
Locations
2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
530 NE Glen Oak Ave
#2624
Peoria, IL 61637
Phone (309) 655-6710
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- New Lenox, IL
- NPI 1679791834
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Family Medicine Physician
- Bloomington, IL
- NPI 1871547414
-
- Anatomic Pathology & Clinical Pathology Physician
- Bloomington, IL
- NPI 1841229507
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891216354
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- Emergency Medicine Physician
- Bloomington, IL
- NPI 1659552859
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- 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": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585958400000",
"number": "1891172888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N LAKE SHORE DR APT 1703",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117431",
"telephone_number": "630-346-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222743",
"telephone_number": "630-346-4693"
}
],
"practiceLocations": [
{
"address_1": "2200 E Washington St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617014364",
"country_code": "US",
"telephone_number": "630-346-4693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "SHAWN",
"middle_name": "CYRIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2020-04-04",
"certification_date": "2020-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.146513",
"primary": true
}
],
"identifiers": [],
"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 Apr 4, 2020; 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.