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

Individual provider Specialist · NPI 1962486001

Susan Shaw, MD is an Obstetrics/Gynecology in Chicago, Illinois. Graduated from Northwestern University Feinberg Medical School in 1996, 30 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL
In the registry since
2005
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

680 N Lake Shore Dr Ste 824
Chicago, IL 60611-4546
Phone: (813) 890-8004
Fax: (813) 290-9691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036098336 (IL)

Record details

NPI number1962486001
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESDecember 15, 2021
Mailing address680 N Lake Shore Dr, Suite 824, Chicago, IL 60611-4546

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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