Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diwante Jamal Shuford, MD

Individual provider Emergency Medicine Physician · NPI 1265172753

Diwante Jamal Shuford, MD is an Emergency Medicine in Oak Lawn, Illinois. Graduated from Medical College of Wisconsin in 2022, 4 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and South Carolina.

Years since qualifying
4
Trained at
Medical College of Wisconsin
Licensed in
IL, SC
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-5375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896 — (803) 434-1663

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036171419 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 96335 (SC)

Record details

NPI number1265172753
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2022 (4 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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