Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023630399 Individual Practitioner Female Practitioner

Dr. Shelbie Waddle , DO, MS

Surgery • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shelbie Waddle, DO, MS is a registered healthcare professional specializing in Surgery in Chicago, IL. Practice services are available at 420 E SUPERIOR ST STE 9-900 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

420 E Superior St Ste 9-900

Chicago, IL 606114494

Telephone 3125037975
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
579 Specialists

Practicing in Chicago, IL (1624 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 125.084651

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Practice Locations

5400 S Rainbow Blvd Ste 302

Las Vegas, NV 891181859

Phone: 7028533000

759 Chestnut St

Springfield, MA 011990001

Phone: 4137940000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brian Lee

Student in an Organized Health Care Education/Training Program

NPI 1003578659
Ruoqi Li

Student in an Organized Health Care Education/Training Program

NPI 1003586009
Katherine Simpson

Student in an Organized Health Care Education/Training Program

NPI 1003587957
Anya Dhar

Student in an Organized Health Care Education/Training Program

NPI 1003645201
Cade Bennett

Student in an Organized Health Care Education/Training Program

NPI 1003645284
Niraj Lawande

Student in an Organized Health Care Education/Training Program

NPI 1003677378

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
👤
Provider Name / Credentials Updated July 22, 2024

Recorded as SHELBIE WADDLE, DO, MS, MS

📍
Updated Practice Location June 18, 2024

Registered at 420 E SUPERIOR ST STE 9-900, CHICAGO, IL 606114494 (Tel: 3125037975)

📍
Updated Business Mailing Address June 18, 2024

Registered at 420 E SUPERIOR ST STE 9-900, CHICAGO, IL 606114494

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as SHELBIE KIRKENDOLL, DO, MS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Surgery (License #125.084651 in IL)

📍
Updated Practice Location June 21, 2021

Registered at 5400 S RAINBOW BLVD STE 302, LAS VEGAS, NV 891181859 (Tel: 7028533000)

📍
Updated Business Mailing Address June 21, 2021

Registered at 5320 S RAINBOW BLVD STE 302, LAS VEGAS, NV 891181896 (Tel: 7027654034)

NPI Profile Active May 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2020

Registered at 759 CHESTNUT ST, SPRINGFIELD, MA 011990001 (Tel: 4137940000)

📍
Updated Business Mailing Address May 10, 2020

Registered at 759 CHESTNUT ST, SPRINGFIELD, MA 011990001 (Tel: 4137940000)

👤
Provider Name / Credentials Updated May 10, 2020

Recorded as SHELBIE KIRKENDOLL, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023630399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2020
Last Update: July 22, 2024
Sole Proprietor: No

Mailing Address

420 E Superior St Ste 9-900

Chicago, IL 606114494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.