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

Shiva Tafazoli, FNP

Individual provider Nurse Practitioner · NPI 1922410117

Shiva Tafazoli, FNP is a Nurse Practitioner in Evanston, Illinois. Qualified in 2013, 13 years ago. Practices with Post Acute Medical PLLC, a 401-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1954 Dempster St
Evanston, IL 60202-1016
Phone: (630) 560-5439
Fax: (630) 701-1007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 W North Ave Ste 402, Melrose Park, IL 60160-1624 — (708) 486-2600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277000446 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209011295 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041343828 (IL)

Record details

NPI number1922410117
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 22, 2014
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Post Acute Medical Pllc — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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