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

Shannon G Shipman, PA-C

Individual provider Physician Assistant · NPI 1619788650

Shannon G Shipman, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2024, 2 years ago. Practices with Cermak Medical Group LLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9669 Kenton Ave Ste 206
Skokie, IL 60076-1226
Phone: (847) 504-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5741 W Cermak Rd, Cicero, IL 60804-2129 — (708) 222-0100

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085010820 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085010820 (IL)

Record details

NPI number1619788650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cermak Medical Group Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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