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WAVELAND MEDICAL CENTER SC
NPI 1407996622
Family Medicine in Chicago, IL

Active since February 07, 2007
840 W IRVING PARK RD, #201, CHICAGO, IL 60613(773) 935-4470(773) 935-5598 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waveland Medical Center Sc NPPES

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

WAVELAND MEDICAL CENTER SC (NPI 1407996622) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since February 2007. The organization lists Daniel C Shin, Physician, as its authorized official.

NPPES Registry Identity

NPI1407996622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAVELAND MEDICAL CENTER SC
Location Address840 W IRVING PARK RD, #201Chicago, IL 60613-3011
Mailing Address840 W Irving Park Rd, #201Chicago, IL 60613-3011 · (773) 935-4470 · Fax (773) 935-5598
Phone(773) 935-4470
Fax(773) 935-5598
Organization SubpartNo
Authorized OfficialDaniel C ShinPhysician · (773) 935-4470
Enumeration DateFebruary 7, 2007
Last NPPES UpdateOctober 5, 2009
✔ NPI 1407996622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPodiatristTaxonomy 213E00000X
840 W IRVING PARK RD, Chicago, IL 60613
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ELENA PETRUSEVSKA PA-C
Physician Assistant (Medical)
840 W IRVING PARK RD, STE 301
CHICAGO, IL 60613
Cook County (773) 975-3269
LAKEVIEW PULMONARY & SLEEP CONSULTANTS LTD
Internal Medicine (Pulmonary Disease)
840 W IRVING PARK RD, STE 305
CHICAGO, IL 60613
Cook County (773) 975-6775
ZIVILE CALDERON FNP
Nurse Practitioner (Family)
840 W IRVING PARK RD, STE 301
CHICAGO, IL 60613
Cook County (773) 975-3269
CIELO BELINGON SUERTE MD SC
Pediatrics
840 W IRVING PARK RD, SUITE 304
CHICAGO, IL 60613
Cook County (773) 244-8300
SHARDAE ELISE MARTIN LSW
Social Worker (Clinical)
840 W IRVING PARK RD
CHICAGO, IL 60613
Cook County (872) 265-1235
MR. DANIEL C SHIN M.D.
Family Medicine
840 W IRVING PARK RD
CHICAGO, IL 60613
Cook County (773) 935-4470
MRS. YOLANDA PERAZA ZARAGOZA-DIESFELD L.C.S.W.
Social Worker (Clinical)
840 W IRVING PARK RD, SUITE 203
CHICAGO, IL 60613
Cook County (773) 868-6824
PRISTINE FAMILY DENTISTRY LTD
Dentist
840 W IRVING PARK RD, SUITE407
CHICAGO, IL 60613
Cook County (773) 248-8580

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 Waveland Medical Center Sc's NPI number?

The NPI number for Waveland Medical Center Sc is 1407996622. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Waveland Medical Center Sc located?

Waveland Medical Center Sc is located at 840 W Irving Park Rd #201, Chicago, IL 60613. The listed phone number is (773) 935-4470.

What is Waveland Medical Center Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Waveland Medical Center Sc was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.