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SHERIDAN MEDICAL CENTER, S.C
NPI 1568671691
Internal Medicine in Chicago, IL

Active since May 22, 2007CLIA 14D2031651 · Waiver
840 W. IRVING PARK RD, SUITE 302, CHICAGO, IL 60613(773) 871-5150(773) 871-5153 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sheridan Medical Center, S.c NPPES

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

SHERIDAN MEDICAL CENTER, S.C (NPI 1568671691), doing business as Sheridan Medical Center, Llc, is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Olumuyiwa Idowu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1568671691
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHERIDAN MEDICAL CENTER, S.C
Location Address840 W. IRVING PARK RD, SUITE 302Chicago, IL 60613-3011
Mailing Address840 W Irving Park Rd Ste 204Chicago, IL 60613-3011 · (773) 871-5150 · Fax (773) 871-5153
Phone(773) 871-5150
Fax(773) 871-5153
Organization SubpartNo
Authorized OfficialOlumuyiwa IdowuMedical Director · (773) 784-5150
Enumeration DateMay 22, 2007
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1568671691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-098784
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 336060802 (IL)
840 W. IRVING PARK RD, Chicago, IL 60613
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSheridan Medical Center, Llc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheridan Medical Center, S.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sheridan Medical Center, S.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olumuyiwa Idowu, M.D.
Internal Medicine
NPI 1538254511
840 W IRVING PARK RD STE 204
Chicago, IL 60613
(773) 871-5150
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2031651

Sheridan Medical Center · Chicago, IL
Active · expires Oct 23, 2027
CLIA Number14D2031651
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorOlumuyiwa Idowu
Laboratory Phone(773) 871-5150
Laboratory LocationSheridan Medical Center840 W Irving Park, Ste 204, Chicago, IL 60613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sheridan Medical Center, S.C's NPI number?

The NPI number for Sheridan Medical Center, S.C is 1568671691. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider was formerly known as Sheridan Medical Center, LLC.

Where is Sheridan Medical Center, S.C located?

Sheridan Medical Center, S.C is located at 840 W. Irving Park Rd Suite 302, Chicago, IL 60613. The listed phone number is (773) 871-5150.

What is Sheridan Medical Center, S.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheridan Medical Center, S.C enrolled in Medicare?

Yes. Sheridan Medical Center, S.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sheridan Medical Center, S.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sheridan Medical Center, S.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sheridan Medical Center, S.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2031651) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sheridan Medical Center, S.C was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.