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

Mr. Manish M Shukla, MD

Individual provider Family Medicine Physician · NPI 1619983558

Mr. Manish M Shukla, MD is a Family Practice in Chicago, Illinois. Qualified in 1993, 33 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
33
Licensed in
IL
In the registry since
2006
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

3943 W 31st St St Jude Medical Ctr
Chicago, IL 60623-4936
Phone: (773) 523-8773
Fax: (773) 523-9259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036098634 (IL)

Record details

NPI number1619983558
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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