DR. SHELLEY J. KORSHAK (NPI# 1750415261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750415261 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY J. KORSHAK |
| Credential | M.D. |
| Practice Address |
30 N Michigan Ave Suite 700 Chicago IL 60602-3402 |
| Practice Telephone | 3122633110 |
| Practice Fax Number | 3122633119 |
| Mailing Telephone | 3122633110 |
| Mailing Fax Number | 3122633119 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
IL | Allopathic & Osteopathic Physicians | |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians | |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
30 N MICHIGAN AVE SUITE 700 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070743 | Kenneth A Krebs | Dentist | 30 N Michigan Ave, Ste 822, Chicago, IL 60602-3805 | 2005-06-01 |
| 1659985661 | Saint Anthony Health Affiliates | Clinic/Center | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-09-08 |
| 1447876099 | Shawnte F Bennett | Marriage & Family Therapist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-06-19 |
| 1871112417 | Vulnus & Cura Psychotherapy LLC | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-04-14 |
| 1962034579 | Joey Rea | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-02-11 |
| 1649824558 | Rachel Casey | Marriage & Family Therapist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2019-07-29 |
| 1316437809 | Aimee Dokko Osborne | Counselor | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2018-05-10 |
| 1396257366 | Elizabeth Ashley Aram | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-10-31 |
| 1396279287 | Marlene Cervantes | Social Worker | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-04-18 |
| 1528508744 | Darlene Perry | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215208491 | Fred M Levin Md Sc | Psychiatry & Neurology | 111 N. Wabash Avenue, Suite 1022, Chicago, IL 60602-1903 | 2012-01-20 |
| 1548697618 | Connections Medical Group Associates LLC | Psychiatry & Neurology | 917 W Washington Blvd, Unit #113, Chicago, IL 60607-2203 | 2013-10-03 |
| 1700086220 | Carol Lynn Childers | Psychiatry & Neurology | 25 E Washington St, #1726, Chicago, IL 60602-1708 | 2007-07-23 |
| 1093864449 | Joseph Richard Spatafora | Psychiatry & Neurology | 600 North Mcclurg Court, Suite 4411a, Chicago, IL 60611 | 2007-01-08 |
| 1477639078 | Parveen Azam | Psychiatry & Neurology | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-10-27 |
| 1568472819 | Roseland Community Hospital Association | Psychiatry & Neurology | 45 W 111th St, Chicago, IL 60628-4200 | 2006-08-09 |
| 1003891458 | Roueen Rafeyan | Psychiatry & Neurology | 2525 S Michigan Ave, B-390, Chicago, IL 60616-2333 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144741844 | Rose Medical Association, Inc. | Psychiatry & Neurology | 209 W Romeo B Garrett Ave, Peoria, IL 61605-2502 | 2017-07-03 |
| 1568525277 | Usha D Malkerneker | Psychiatry & Neurology | 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429-1485 | 2006-12-18 |
| 1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
| 1508979758 | Charles R Harris | Psychiatry & Neurology | 12230 Cashlenan Ln, New Lenox, IL 60451-2799 | 2006-08-15 |
| 1255340097 | Michael Rachman | Psychiatry & Neurology | 1375 E Schaumburg Road, Suite 260, Schaumburg, IL 60194-3658 | 2006-08-07 |
| 1245217959 | Raymond Christopher Garcia | Psychiatry & Neurology | 8616 Northern Ave, Rockford, IL 61107-5309 | 2005-12-23 |
| 1184610107 | Lucy Ibrahim | Psychiatry & Neurology | 1280 Windham Pkwy, Romeoville, IL 60446-1673 | 2005-09-26 |
| 1528681764 | Holon Inclusive Behavioral Health | Psychiatry & Neurology | 301 S Main St, Dupo, IL 62239-1325 | 2020-05-21 |
| 1013555416 | Mathers Recovery LLC | Psychiatry & Neurology | 81 E Grand Ave, Fox Lake, IL 60020-1557 | 2019-12-16 |
| 1083252480 | Mathers Recovery LLC | Psychiatry & Neurology | 585 Tollgate Rd, Elgin, IL 60123-9323 | 2019-12-16 |
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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.