Individual provider Active NPI

Shauna Marie Haramija

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1972190767
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041.408926 Issued in IL
Practice address
301 Springfield Ave Ste 2
Joliet, IL 60435-8202
Phone
(815) 630-5119
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041.408926 IL Primary

Addresses

Primary practice location

301 Springfield Ave Ste 2
Joliet, IL 60435-8202

Mailing address

12624 W Oak Valley TRL
Homer Glen, IL 60491-9064
Phone (708) 717-3606

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202000516 IL Practitioner - Nurse Practitioner 6406260512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Specialists of Illinois LLCGroup PAC ID 9638423247, 4 clinicians

Practice addresses (Care Compare)

301 Springfield Ave
Uppr Level
Joliet, IL 60435-6590
Phone (815) 630-5119

Hospital & facility affiliations

  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.408926ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Specialists of Illinois LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

301 Springfield Ave
Ste 2
Joliet, IL 60435
Phone (815) 630-5119

301 Springfield Ave
Uppr
Joliet, IL 60435
Phone (815) 630-5119

Organizations & group practices 1

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 1

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1972190767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 W OAK VALLEY TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919064",
            "telephone_number": "708-717-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SPRINGFIELD AVE STE 2",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358202",
            "telephone_number": "815-630-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAMIJA",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.408926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.