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

Shahab Kazi, DO

Individual provider Emergency Medicine Physician · NPI 1194306894

Shahab Kazi, DO is an Emergency Medicine in Libertyville, Illinois. Qualified in 2021, 5 years ago. Practices with Vituity-Wisconsin Em SC, a 57-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
5
Licensed in
IL, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone: (847) 362-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.168277 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 81843-21 (WI)

Record details

NPI number1194306894
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 15, 2021
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vituity-Wisconsin Em Sc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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