HOOMAN SHAMS DO
NPI 1528628138
Student in an Organized Health Care Education/Training Program in La Grange, IL

Active since June 17, 2019
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525(708) 245-8900(708) 245-5721 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2020, Apr 20, 2020, Jun 17, 2019 (3 updates tracked since 2019).

About Hooman Shams Do NPPES

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

HOOMAN SHAMS DO (NPI 1528628138) is an individual student in an organized health care education/training program in La Grange, Illinois and active in the NPI registry since June 2019. He maintains a secondary practice location in Geneva.

NPPES Registry Identity

NPI1528628138
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHOOMAN SHAMSCredential: DO
Location Address1325 COMMUNITY MEMORIAL DRLa Grange, IL 60525-2659
Mailing Address1325 Community Memorial DrLa Grange, IL 60525-2659 · (708) 245-8900 · Fax (708) 245-5721
Fax(708) 245-5721
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateMay 7, 20203 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
NPI 1528628138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1325 COMMUNITY MEMORIAL DR, La Grange, IL 60525

Secondary Practice Location 1

Location 1300 Randall Rd.Geneva, IL 60134 · Phone (630) 208-3000

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.

Psychologist (Clinical)
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Psychologist (Clinical)
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Nurse Practitioner (Family)
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528628138, enumerated as an "individual" on June 17, 2019.

The provider is located at 1325 COMMUNITY MEMORIAL DR LA GRANGE, IL 60525 and the phone number is (708) 245-8900.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.