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

Tiffany Sham, DO

Individual provider Family Medicine Physician · NPI 1518340058

Tiffany Sham, DO is a Family Practice in Berwyn, Illinois. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
9
Licensed in
CA, IL
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

3231 Euclid Ave 5th Fl
Berwyn, IL 60402-3471
Phone: (708) 783-2000
Fax: (708) 783-3656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18473 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125070732 (IL)

Record details

NPI number1518340058
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESDecember 17, 2021
Certification dateMarch 29, 2021
Mailing address975 Sereno Dr, Vallejo, CA 94589-2441

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Berwyn