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

Kevin Jude Shanahan

Individual provider Physician Assistant · NPI 1891443693

Kevin Jude Shanahan is a Physician Assistant in Melrose Park, Illinois. Qualified in 2022, 4 years ago. Practices with Access Community Health Network, a 184-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022

Practice location Address checks out

8321 W North Ave
Melrose Park, IL 60160-1669
Phone: (708) 681-2298
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009116 (IL)

Record details

NPI number1891443693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 11, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Access Community Health Network — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Melrose Park