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

Dr. Jennifer Shastry, MD

Individual provider Dermatology Physician · NPI 1275989808

Dr. Jennifer Shastry, MD is a Dermatology in Chicago, Illinois. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2016, 10 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IL
In the registry since
2016
Specialties on file
2
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

111 W Washington St Ste 1801
Chicago, IL 60602-3430
Phone: (312) 695-8106
Fax: (312) 694-1340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 — (312) 695-8106
  • 7435 W Talcott Ave, Chicago, IL 60631-3707 — (773) 792-5144

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036152257 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 125069308 (IL)

Record details

NPI number1275989808
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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