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

Shannon G Shipman, PA-C

Individual provider Physician Assistant · NPI 1619788650

Shannon G Shipman, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2024, 2 years ago. Practices with Cermak Medical Group LLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9669 Kenton Ave Ste 206
Skokie, IL 60076-1226
Phone: (847) 504-3300
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5741 W Cermak Rd, Cicero, IL 60804-2129 — (708) 222-0100

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085010820 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085010820 (IL)

Record details

NPI number1619788650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cermak Medical Group Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Cermak Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 21 clinicians in the practice; 12 are shown here.

Other providers in Skokie