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

Dr. Shannon Michelle Davis, DO

Individual provider Phlebology Physician · NPI 1215059506

Dr. Shannon Michelle Davis, DO is a General Surgery in Orland Park, Illinois. Qualified in 2005, 21 years ago. Practices with Illinois Uvc Medical PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana, Kentucky and Ohio.

Years since qualifying
21
Licensed in
IL, IN, KY, OH
In the registry since
2007
Specialties on file
5
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.

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Practice location Address checks out

15303 S 94th Ave Ste 110
Orland Park, IL 60462-3825
Phone: (800) 991-6117
Fax: (888) 812-8191
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036164424 (IL)
Phlebology Physician Taxonomy 202K00000X · Licence 036164424 (IL)
Surgery Physician Taxonomy 208600000X · Licence 34.015496 (OH)
Surgery Physician Taxonomy 208600000X · Licence 05142 (KY)
Surgery Physician Taxonomy 208600000X · Licence 02003690A (IN)

Record details

NPI number1215059506
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESFebruary 15, 2025
Certification dateFebruary 15, 2025
Mailing address3820 Northdale Blvd Ste 201, Tampa, FL 33624-1893

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Illinois Uvc Medical Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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