JESSICA LYNN SHRIVER MD
NPI 1558929612
Pediatrics in Chicago, IL

Q: What is Jessica Shriver's NPI number?

The NPI number for Jessica Shriver is 1558929612. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Jessica Shriver's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Shriver was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2019PECOS Enrolled

6501 S PROMONTORY DR, CHICAGO, IL 60649(773) 256-5735(773) 256-5938 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jessica Lynn Shriver Md NPPES

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

JESSICA LYNN SHRIVER MD (NPI 1558929612) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036.160806) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winfield.

NPPES Registry Identity

NPI1558929612

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJESSICA LYNN SHRIVERCredential: MD

Location Address6501 S PROMONTORY DRChicago, IL 60649-1002

Mailing Address225 E Chicago Ave # 152Chicago, IL 60611-2991 · (312) 227-0078 · Fax (312) 227-9525

Phone(773) 256-5735

Fax(773) 256-5938

Sole ProprietorNo

Enumeration DateJune 4, 2019

Last NPPES UpdateJune 23, 2022

NPPES CertifiedJune 23, 2022

✔ NPI 1558929612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IL · 036.160806✔ Licensed in SC · LL82634

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6501 S PROMONTORY DR, Chicago, IL 60649

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Secondary Practice Location 1

Location 125 N Winfield RdWinfield, IL 60190-1379 · Phone (800) 543-7362 · Fax (630) 933-5260

Other Identifiers 1

Other036.160806IL · Idfpr

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Shriver Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60649 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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