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

Dr. Shishin Yamada, MD

Individual provider Surgery Physician · NPI 1962411793

Dr. Shishin Yamada, MD is a General Surgery in New Lenox, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2001, 25 years ago. Practices with Cgh Medical Center, a 201-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
25
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2006
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

1890 Silver Cross Blvd Pavilion A Ste 560
New Lenox, IL 60451-9583
Phone: (815) 714-9362
Fax: (815) 846-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036112458 (IL)

Record details

NPI number1962411793
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2001 (25 years in practice)
Group practice Cgh Medical Center — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in New Lenox