Individual
SHANNON G SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9669 KENTON AVE STE 206, SKOKIE, IL 60076-1226
(847) 504-3300
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085010820
IL
363AS0400X
Surgical Physician Assistant
Primary
085010820
IL
Other
Enumeration date
01/17/2025
Last updated
03/26/2026
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