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SHADA ATWA
NPI 1578453593
Student in an Organized Health Care Education/Training Program in Deerfield, IL

Active since July 09, 2025
770 LAKE COOK RD STE 200, DEERFIELD, IL 60015(224) 716-0728 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shada Atwa NPPES

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

SHADA ATWA (NPI 1578453593) is an individual student in an organized health care education/training program in Deerfield, Illinois and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1578453593
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHADA ATWA
Location Address770 LAKE COOK RD STE 200Deerfield, IL 60015-4920
Mailing Address770 Lake Cook Rd Ste 200Deerfield, IL 60015-4920
Phone(224) 716-0728
Sole ProprietorNo
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1578453593 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.
770 LAKE COOK RD STE 200, Deerfield, IL 60015
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY HEDERMAN
Social Worker (Clinical)
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
VIVIANNE SWERDLOW
Social Worker (Clinical)
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
WALTER GENARO GARCIA HERNANDEZ PSYD
Student in an Organized Health Care Education/Training Program
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
BRANDEN CHARLES HIDALGO
Counselor (Mental Health)
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
JORDAN ADER MSW, LSW
Social Worker
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
KATHERINE BARRY
Counselor (Mental Health)
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
ANGELICA KOCIOLEK MA
Social Worker (Clinical)
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662
DR. HANNAH R CARL PSYD
Psychologist
770 LAKE COOK RD STE 200
DEERFIELD, IL 60015
Lake County (847) 607-9662

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 Shada Atwa's NPI number?

The NPI number for Shada Atwa is 1578453593. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Shada Atwa located?

Shada Atwa practices at 770 Lake Cook Rd Ste 200, Deerfield, IL 60015. The listed phone number is (224) 716-0728.

What is Shada Atwa's specialty?

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

When was this NPI record last updated?

The NPPES record for Shada Atwa was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.