Individual
DR. SHELLY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1170 E BELVEDERE RD #106, GRAYSLAKE, IL 60030
(847) 548-7337
(847) 548-9909
Mailing address
1170 E BELVIDERE RD STE 106, GRAYSLAKE, IL 60030-2076
(847) 548-7337
(847) 548-9909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-106369
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036106369
IL
2080A0000X
Pediatric Adolescent Medicine Physician
13719
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006726984
—
VA
05
—
036106369
—
IL
Enumeration date
09/02/2005
Last updated
02/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us