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

Dr. Shawn Ashley Kacker, DO

Individual provider Pediatrics Physician · NPI 1073042727

Dr. Shawn Ashley Kacker, DO is a Neurology in Park Ridge, Illinois. Graduated from Philadelphia College of Osteopathic Medicine in 2017, 9 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
IL
In the registry since
2017
Specialties on file
3
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

1675 Dempster St Fl 3
Park Ridge, IL 60068-1110
Phone: (847) 318-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave # Mc8016, Chicago, IL 60637-1447 — (773) 702-6435

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036-159149 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 125070942 (IL)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 036159149 (IL)

Record details

NPI number1073042727
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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