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

Shannon Marie Groves, PA

Individual provider Physician Assistant · NPI 1013106707

Shannon Marie Groves, PA is a Physician Assistant in Joliet, Illinois. Qualified in 2007, 19 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2202 Essington Rd Ste 101
Joliet, IL 60435-1634
Phone: (815) 676-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 08500306 (IL)

Record details

NPI number1013106707
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESAugust 3, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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