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

Shane Gardner, DO

Individual provider Emergency Medicine Physician · NPI 1942950191

Shane Gardner, DO is an Emergency Medicine in Oak Lawn, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2022, 4 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-5375
Fax: (708) 684-3776
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-174202 (IL)

Record details

NPI number1942950191
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2022 (4 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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