St Jude Medical Clinic Sc
NPI 1326186941 · Family Medicine Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Jude Medical Clinic Sc is a Family Medicine Physician organization in Chicago, IL (NPI 1326186941).
Provider details
- NPI number
- 1326186941
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roma Shukla, Manager(773) 523-8773
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-03
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Frequently asked questions
- What is St Jude Medical Clinic Sc's NPI number?
- St Jude Medical Clinic Sc's National Provider Identifier (NPI) is 1326186941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Jude Medical Clinic Sc?
- St Jude Medical Clinic Sc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Jude Medical Clinic Sc located?
- St Jude Medical Clinic Sc's practice location on file with NPPES is 3943 W 31st St, Chicago, IL 60623-4936.
- What is St Jude Medical Clinic Sc's phone number?
- The practice phone number listed in the NPPES registry for St Jude Medical Clinic Sc is (773) 523-8773.
- Does St Jude Medical Clinic Sc accept Medicare?
- St Jude Medical Clinic Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Jude Medical Clinic Sc?
- The authorized official listed on St Jude Medical Clinic Sc's NPPES record is Roma Shukla, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Jude Medical Clinic Sc's NPI active?
- Yes — St Jude Medical Clinic Sc's NPI (1326186941) is active in the NPPES registry as of the last update on 2020-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.