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

Socorro J Shelton, MD

Individual provider Family Medicine Physician · NPI 1780905638

Socorro J Shelton, MD is a Family Practice in Carbondale, Illinois. Qualified in 2007, 19 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 W Jackson St Ste 200
Carbondale, IL 62901-1474
Phone: (618) 453-7777
Fax: (618) 453-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 — (618) 932-3937

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-124717 (IL)

Record details

NPI number1780905638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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