DR. SHOBHA MAHADEVAN (NPI# 1821082231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082231 |
| Entity Type | Individual |
| Full Name | DR. SHOBHA MAHADEVAN |
| Credential | M.D. |
| Practice Address |
Health Services Northern Illinois University, Wirtz Drive Dekalb IL 60115 |
| Practice Telephone | 8157531311 |
| Practice Fax Number | 8157535906 |
| Mailing Telephone | 8157531311 |
| Mailing Fax Number | 8157535906 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-096889-1 | 05 |
| Street Address |
HEALTH SERVICES NORTHERN ILLINOIS UNIVERSITY, WIRTZ DRIVE |
| City | DEKALB |
| State | IL |
| Zip Code | 60115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871568931 | Michael Louis Brown | Family Medicine | Health Services, Northern Illinois University, Dekalb, IL 60115 | 2006-02-22 |
| 1275503849 | Sujata A Oak | Internal Medicine | Health Services, Northern Illinois University, Dekalb, IL 60115 | 2006-01-25 |
| 1528048410 | John Landis Bowman | General Practice | Health Services, Northern Illinois University, Dekalb, IL 60115-2854 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235117409 | Saroj Ahluwalia | Internal Medicine | Health Services,northern Illinois University, Wirtz Dr, Dekalb, IL 60115-2879 | 2006-01-06 |
| 1891089777 | Dennis Michael Laurence | Internal Medicine | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2011-06-08 |
| 1306156856 | Ikechukwu I Chineme | Internal Medicine | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2010-10-18 |
| 1083877732 | Anand B. Morker | Internal Medicine | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2008-07-02 |
| 1760494801 | Nayna Navik | Internal Medicine | 217 Franklin St, Dekalb, IL 60115-3742 | 2006-08-13 |
| 1356350581 | William K Lee | Internal Medicine | 217 Franklin St, Dekalb, IL 60115-3742 | 2006-08-05 |
| 1326072042 | Ghori Siddique Rashio Khan | Internal Medicine | 8 Health Services Dr, Ste 5, Dekalb, IL 60115-9647 | 2006-07-10 |
| 1275503849 | Sujata A Oak | Internal Medicine | Health Services, Northern Illinois University, Dekalb, IL 60115 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
| 1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.