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

Individual provider Internal Medicine Physician · NPI 1760673099

Salim Shackour, MD is a Hospitalist in Decatur, Illinois. Qualified in 2000, 26 years ago. Practices with Cep America-Illinois Hospitalists, LLP, a 196-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2007
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

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone: (217) 464-5811
Fax: (217) 464-1318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 W 10th St, Rolla, MO 65401 — (573) 364-9000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036119015 (IL)

Record details

NPI number1760673099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2007
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65401-2905

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Cep America-Illinois Hospitalists, Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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