Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHELLY ANN MANN MD
NPI 1194719211
Pediatrics - Adolescent Medicine in Downers Grove, IL

Q: What is Shelly Mann's NPI number?

The NPI number for Shelly Mann is 1194719211. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Shelly Mann's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Mann was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2005PECOS Enrolled

1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515(708) 634-0950(708) 634-0942 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Feb 5, 2026, Dec 16, 2025 and 1 more (4 updates tracked since 2021).

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About Dr. Shelly Ann Mann Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELLY ANN MANN MD (NPI 1194719211) is an individual adolescent medicine provider in Downers Grove, Illinois, licensed in Illinois (036106369) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1990).

NPPES Registry Identity

NPI1194719211

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. SHELLY ANN MANNCredential: MD

Location Address1441 BRANDING AVE STE 310Downers Grove, IL 60515-5624

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(708) 634-0950

Fax(708) 634-0942

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1990

Enumeration DateSeptember 2, 2005

Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1194719211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in IL · 036106369✔ Licensed in WI · 13719

Definition

A pediatrician who 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.

Also ListedPediatricsTaxonomy 208000000X · License 036-106369 (IL)

1441 BRANDING AVE STE 310, Downers Grove, IL 60515

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Other Identifiers 2

Medicaid006726984VA

Medicaid036106369IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelly Ann Mann Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709381130

PECOS Enrollment IDI20250925002808, I20260129002092

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA DOLAN APN

Nurse Practitioner (Family)