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ILLINOIS VETERANS HOME AT CHICAGO
NPI 1891367330
Residential Treatment Facility, Physical Disabilities in Chicago, IL

Active since July 14, 2021CLIA 14D2225873 · Waiver
4250 N OAK PARK AVE, CHICAGO, IL 60634(773) 794-3763 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Illinois Veterans Home At Chicago NPPES

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

ILLINOIS VETERANS HOME AT CHICAGO (NPI 1891367330) is a healthcare organization registered as a residential treatment facility, physical disabilities in Chicago, Illinois and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists T'kira Siler-wilkerson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891367330
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameILLINOIS VETERANS HOME AT CHICAGO
Location Address4250 N OAK PARK AVEChicago, IL 60634-1417
Mailing Address4250 N Oak Park AveChicago, IL 60634-1417
Phone(773) 794-3763
Organization SubpartNo
Authorized OfficialT'kira Siler-wilkersonAdministrator · (773) 628-5905
Enumeration DateJuly 14, 2021
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1891367330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
4250 N OAK PARK AVE, Chicago, IL 60634
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Veterans Home At Chicago 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 Illinois Veterans Home At Chicago, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mehul Shah, M.D.
Internal Medicine
NPI 1538196043
7447 W TALCOTT AVE SUITE 216
Chicago, IL 60631
(773) 631-0566
✔ PECOS✔ Accepts Medicare2.3 mi

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 14D2225873

Illinois Veterans Home At Chicago · Chicago, IL
Active · expires May 24, 2027
CLIA Number14D2225873
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorMehul Shah
Laboratory Phone(773) 794-3763
Laboratory LocationIllinois Veterans Home At Chicago4250 N Oak Park Ave, Chicago, IL 60634
CLIA data matches this NPI record on: Address 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 Illinois Veterans Home At Chicago's NPI number?

The NPI number for Illinois Veterans Home At Chicago is 1891367330. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Illinois Veterans Home At Chicago located?

Illinois Veterans Home At Chicago is located at 4250 N Oak Park Ave, Chicago, IL 60634. The listed phone number is (773) 794-3763.

What is Illinois Veterans Home At Chicago's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Is Illinois Veterans Home At Chicago enrolled in Medicare?

Yes. Illinois Veterans Home At Chicago is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Veterans Home At Chicago?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Illinois Veterans Home At Chicago. 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 Illinois Veterans Home At Chicago hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2225873) is associated with this NPI, valid through May 24, 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 Illinois Veterans Home At Chicago was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.