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Contact Information

SHELLY MANN, MD
1170 E BELVEDERE RD #106
GRAYSLAKE, IL60030
 Phone: 847-548-7337
 Fax: 847-548-9909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHELLY MANN · (Female)

NPI Number 1194719211
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2005
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-106369
  • IL License # 036106369
  • WI License # 13719
  • IL Medicaid 036106369
  • VA Medicaid 006726984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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