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DR. SHELLY MANN MD
NPI 1194719211
Pediatrics - Adolescent Medicine in Grayslake, IL

Active since September 02, 2005PECOS Enrolled
1170 E BELVEDERE RD #106, GRAYSLAKE, IL 60030(847) 548-7337(847) 548-9909 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2026, Dec 16, 2025, Dec 27, 2021 (3 updates tracked since 2021).

About Dr. Shelly Mann Md NPPES

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

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

NPPES Registry Identity

NPI1194719211
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. SHELLY MANNCredential: MD
Location Address1170 E BELVEDERE RD #106Grayslake, IL 60030
Mailing Address1170 E Belvidere Rd Ste 106Grayslake, IL 60030-2076 · (847) 548-7337 · Fax (847) 548-9909
Phone(847) 548-7337
Fax(847) 548-9909
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1990
Enumeration DateSeptember 2, 2005
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 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)

Secondary Practice Location 1

Location 11441 Branding Ave Ste 310Downers Grove, IL 60515-5624 · Phone (708) 634-0950 · Fax (708) 634-0942

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 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

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

MRS. ARACELI T HANKINS MD
Pediatrics (Adolescent Medicine)
1170 E BELVEDERE RD #106
GRAYSLAKE, IL 60030
Lake County (847) 548-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Shelly Mann located?

Shelly Mann practices at 1170 E Belvedere Rd #106, Grayslake, IL 60030. The listed phone number is (847) 548-7337.

What is Shelly Mann's specialty?

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

Is Shelly Mann enrolled in Medicare?

Yes. Shelly Mann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelly Mann was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.