Dr. Shelly Mann
MD | Pediatric Adolescent Medicine | Female
Dr. Shelly Mann, MD is a Grayslake, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Shelly Mann is
1170 E Belvedere Rd #106, Grayslake, Illinois - 60030. She can be contacted on phone at
847-548-7337 and fax number 847-548-9909.
Dr. Shelly Mann is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shelly Mann is
1194719211 which was assigned by NPPES on 02 Sep, 2005 and it was last updated on 27 Dec, 2021.
Dr. Shelly Mann license number is
036106369 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Dr. Shelly Mann specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Shelly Mann basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Shelly Mann |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Shelly Mann address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1170 E Belvedere Rd #106
Grayslake, IL, 60030
United States |
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| Phone Number : | 847-548-7337 |
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| Fax Number : | 847-548-9909 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194719211 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Sep, 2005 |
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| Last Updated On : | 27 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shelly Mann are as mentioned. Primary taxonomy code for Dr. Shelly Mann, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036106369 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shelly Mann such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036106369 | MEDICAID | IL | |
| 006726984 | MEDICAID | VA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | smann237951@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 1170 E BELVEDERE RD #106,
GRAYSLAKE, IL, 60030
United States |
FHIR
(FHIR URL) | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 1170 E BELVEDERE RD #106,
GRAYSLAKE, IL, 60030
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1170 E Belvedere Rd #106
Grayslake, IL, 60030
United States |
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| Phone Number : | 847-548-7337 |
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| Fax Number : | 847-548-9909 |
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Business Location:
Patients can refer following map for directions to
Dr. Shelly Mann practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.