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

Dr. Shivon Manchanda, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730640905

Dr. Shivon Manchanda, MD is an Emergency Medicine in Chicago, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2019, 7 years ago. Practices with Waukegan Clinic Corp, a 62-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2019
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL

Additional practice locations (2)

  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036162105 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730640905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2019 (7 years in practice)
Group practice Waukegan Clinic Corp — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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