Waveland Medical Center Sc
NPI 1407996622 · Family Medicine Physician · Chicago, IL
Waveland Medical Center Sc is a Family Medicine Physician organization in Chicago, IL (NPI 1407996622).
Provider details
- NPI number
- 1407996622
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Shin, Physician(773) 935-4470
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
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
- 2007-02-07
- Last updated
- 2009-10-05
Frequently asked questions
- What is Waveland Medical Center Sc's NPI number?
- Waveland Medical Center Sc's National Provider Identifier (NPI) is 1407996622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waveland Medical Center Sc?
- Waveland Medical Center Sc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Waveland Medical Center Sc located?
- Waveland Medical Center Sc's practice location on file with NPPES is 840 W Irving Park Rd, Chicago, IL 60613-3011.
- What is Waveland Medical Center Sc's phone number?
- The practice phone number listed in the NPPES registry for Waveland Medical Center Sc is (773) 935-4470.
- Who is the authorized official for Waveland Medical Center Sc?
- The authorized official listed on Waveland Medical Center Sc's NPPES record is Daniel Shin, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waveland Medical Center Sc's NPI active?
- Yes — Waveland Medical Center Sc's NPI (1407996622) is active in the NPPES registry as of the last update on 2009-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.