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

Shannon Watley, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1205821121

Shannon Watley, DO is an Obstetrics/Gynecology in Crystal Lake, Illinois. Graduated from Nova Southeastern College of Osteo Medicine in 1997, 29 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
IL
In the registry since
2005
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

360 Station Drive 3rd Fl
Crystal Lake, IL 60014-6260
Phone: (815) 477-2310
Fax: (815) 356-2335
Show map & directions

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

Additional practice locations (3)

  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 238-4325

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036106885 (IL)

Record details

NPI number1205821121
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address13707 W Jackson St, Woodstock, IL 60098-3188

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 1997 (29 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crystal Lake