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

Dr. Shannon Eileen Staley, MD

Individual provider Pediatrics Physician · NPI 1962738856

Dr. Shannon Eileen Staley, MD is a Pediatrics Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 702-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125056477 (IL)

Record details

NPI number1962738856
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 27, 2009
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address1727 N Hermitage Ave, Apt #2, Chicago, IL 60622-1411

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