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

Annette V Shores, MD

Individual provider Surgery Physician · NPI 1912903857

Annette V Shores, MD is a Surgery Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

2 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2408
Phone: (618) 899-3980
Fax: (618) 899-4793
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036093049 (IL)

Record details

NPI number1912903857
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESJanuary 8, 2014

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