Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Kathleen Male, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1396246401

Shannon Kathleen Male, FNP-BC is a Nurse Practitioner in Bourbonnais, Illinois. Qualified in 2017, 9 years ago. Practices with Riverside Health System, a 205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
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

200 Riverside Dr
Bourbonnais, IL 60914-4689
Phone: (815) 933-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 71 W 156th St Ste 401, Harvey, IL 60426-4265 — (708) 339-4800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.016973 (IL)

Record details

NPI number1396246401
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Riverside Health System — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bourbonnais