Individual provider Active NPI

Shawn Cyril Joseph, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1891172888
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.146513 Issued in IL
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

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920001152 IL Practitioner - Emergency Medicine 1254646771 Reassigns benefits to 3 organizations

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
Em Strategies,LTD.Group PAC ID 6103925920, 32 clinicians

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

LicenseStateTypeSpecialty
036.146513ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mea Chicago PC Emergency Medicine CurrentSince Dec 24, 2019 Accepting new patients
Bloomington Medical Laboratory Physicians, S.C. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 22, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Em Strategies,LTD. Emergency Medicine CurrentSince Aug 2, 2021 Accepting new patients
St Joseph Medical Center CurrentSince Aug 14, 2018 Accepting new patients
St Joseph Medical Center Emergency Medicine CurrentSince Aug 14, 2018 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.