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

Mrs. Suman Gowda Shaw, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1780214718

Mrs. Suman Gowda Shaw, FNP-BC is a Nurse Practitioner in Joliet, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2019, 7 years ago. Practices with Pain and Spine Institute, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2020
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

744 Essington Rd
Joliet, IL 60435-4912
Phone: (815) 729-0700
Fax: (815) 729-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020361 (IL)

Record details

NPI number1780214718
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 17, 2020
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Pain And Spine Institute, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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