SHELBY GRAHAM
NPI 1235710609
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Shelby Graham's NPI number?

The NPI number for Shelby Graham is 1235710609. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Q: What is Shelby Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelby Graham was last updated on April 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2021PECOS Enrolled

1620 W HARRISON ST, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: April 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shelby Graham NPPES

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

SHELBY GRAHAM (NPI 1235710609) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235710609

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHELBY GRAHAM

Location Address1620 W HARRISON STChicago, IL 60612-3801

Mailing Address1620 W Harrison StChicago, IL 60612-3801

Phone(312) 942-5000

Sole ProprietorYes

Enumeration DateApril 17, 2021

NPPES CertifiedApril 17, 2021

✔ NPI 1235710609 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.

1620 W HARRISON ST, Chicago, IL 60612

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Other Identifiers 1

Other0078777No Otthe Provider Identifiers

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Graham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.