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MR. TEVYN COLE SHADLYN M.D.
NPI 1053166447
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 19, 2024
820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2024, Apr 19, 2024 (2 updates tracked since 2024).

About Mr. Tevyn Cole Shadlyn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TEVYN COLE SHADLYN M.D. (NPI 1053166447) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1053166447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TEVYN COLE SHADLYNCredential: M.D.
Location Address820 SOUTH WOOD STREET, SUITE 100, MC 675Chicago, IL 60612
Mailing Address820 South Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Enumeration DateApril 19, 2024
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
✔ NPI 1053166447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
820 SOUTH WOOD STREET, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EITAN KATZ
Ophthalmology
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. LUNA SAMER NASRY DO
Pediatrics
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
JUAN RAMON TORRES ANGUIANO MD
Urology
820 SOUTH WOOD STREET, CSN-515
CHICAGO, IL 60612
Cook County (312) 996-9330
JOSHUA ROBERT HABERMANN DDS
Dentist (Oral and Maxillofacial Surgery)
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
MS. ELISSA MINJU KIM DDS
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. WAN KWOK MD
Psychiatry & Neurology (Psychiatry)
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
AMY BIBIANA DE LA TORRE MD
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933
RYAN ALEXANDER GALLO MD, PHD
Student in an Organized Health Care Education/Training Program
820 SOUTH WOOD STREET, SUITE 100, MC 675
CHICAGO, IL 60612
Cook County (312) 996-2933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tevyn Shadlyn's NPI number?

The NPI number for Tevyn Shadlyn is 1053166447. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Tevyn Shadlyn located?

Tevyn Shadlyn practices at 820 South Wood Street Suite 100, Mc 675, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Tevyn Shadlyn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tevyn Shadlyn was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.