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

Rebecca Gloria Shah, APN-CNP

Individual provider Gerontology Nurse Practitioner · NPI 1164129458

Rebecca Gloria Shah, APN-CNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

1715 E 95th St
Chicago, IL 60617-4708
Phone: (773) 977-7256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1777 Green Bay Rd Ste 201, Highland Park, IL 60035-3109 — (847) 433-3460

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209027158 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209.027158 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041459161 (IL)

Record details

NPI number1164129458
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorYes
NPI enumeratedFebruary 8, 2023
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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