MICHAEL YUZHOU SHAO (NPI# 1508196122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508196122 |
| Entity Type | Individual |
| Full Name | MICHAEL YUZHOU SHAO |
| Credential | MD |
| Practice Address |
5140 N California Ave Ste 780 Chicago IL 60625 |
| Mailing Address |
2740 W Foster Ave Ste Ll7 Chicago IL 60625-3543 |
| Practice Telephone | 7739893957 |
| Practice Fax Number | 7739893971 |
| Mailing Telephone | 7738788200 |
| Mailing Fax Number | 7732934197 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 036117153 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036117153 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN FOR SCMG | 406120 | 01 |
| IL | 036117153 | 05 | |
| IL | MEDICARE INDIVIDUAL PTAN | 406120075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790008597 | Michael Shao | Pharmacist | 777s. Oyster Road, Bethpage, NY 11714 | 2010-03-08 |
| Street Address |
5140 N CALIFORNIA AVE STE 780 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046681 | Olga Zuk | Internal Medicine | 5140 N California Ave, Suite 115, Chicago, IL 60625-3645 | 2005-07-11 |
| 1346847654 | Mariam El-zein | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-10-08 |
| 1437767522 | Yelena Sahakian | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-07-15 |
| 1073137964 | Conor Wood Farley | Emergency Medicine | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-05 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1881218055 | Joseph Yeo | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-03 |
| 1669095881 | Agnieszka Stefania Bar | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-05-21 |
| 1144842279 | Spencer Grant Suppes | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-05-12 |
| 1407483035 | Karthik Seetharaman | Student in an Organized Health Care Education/Training Program | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-03-24 |
| 1083263636 | Abigail Saskowski | Pharmacist | 5140 N California Ave, Chicago, IL 60625-3645 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
| 1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
| 1255536355 | Omar Morcos | Surgery | 840 S Wood St # 958, Chicago, IL 60612-4325 | 2007-06-19 |
| 1497890750 | Balasubramaniam S Iyer | Surgery | 1945 W Wilson Avenue, Suite #2115, Chicago, IL 60640-5255 | 2007-02-21 |
| 1013079367 | Karen J. Ho | Surgery | 676 N Saint Clair St Ste 650, Chicago, IL 60611-2929 | 2006-12-14 |
| 1225075104 | Daniel Katz, M.d., L.L.C. | Surgery | 4696 N Marine Dr, Suite 5b, Chicago, IL 60640-5714 | 2006-06-01 |
| 1285602805 | Amy Reed | Surgery | 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 | 2006-03-09 |
| 1821098542 | Shelly Lynne Bledsoe | Surgery | 2306 E 75th St, Chicago, IL 60649-3306 | 2005-07-22 |
| 1760019905 | Margaret Ann Reilly | Surgery | 251 E Huron St, Chicago, IL 60611-3055 | 2020-03-26 |
| 1124588264 | Calvin Chao | Surgery | 251 E Huron St, Chicago, IL 60611-2908 | 2019-03-24 |
| Find all providers in CHICAGO | ||||
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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.