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DR. SHAHEDA M MANSURI MD
NPI 1598701401
General Practice in Du Quoin, IL

Active since June 20, 2006
1564 S WASHINGTON ST, DU QUOIN, IL 62832(618) 542-8702 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shaheda M Mansuri Md NPPES

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

DR. SHAHEDA M MANSURI MD (NPI 1598701401) is an individual general practice provider in Du Quoin, Illinois, licensed in Illinois (036070613) and active in the NPI registry since June 2006. She maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1598701401
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. SHAHEDA M MANSURICredential: MD
Location Address1564 S WASHINGTON STDu Quoin, IL 62832-3849
Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-1624 · Fax (618) 724-4628
Phone(618) 542-8702
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateAugust 26, 2019
✔ NPI 1598701401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036070613
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1564 S WASHINGTON ST, Du Quoin, IL 62832
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Secondary Practice Location 1

Location 12401 W Main St, vamedical centerMarion, IL 62959-1188 · Phone (618) 993-4183 ext. 54864 · Fax (618) 998-5677

Other Providers at the Same Location NPPES 13

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

ANALIESE WILMSMEYER PA-S
Physician Assistant
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 542-8702
MS. MARGARET ANN HOWARD LCSW
Social Worker (Clinical)
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 542-8702
BENJAMIN T RATHERT MD
Family Medicine
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 542-8702
CHARELLE OCTAVIA SMITH MD
Family Medicine
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 542-8702
MARY MARSHALL LPN
Licensed Practical Nurse
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 724-2401
TERESA MCBRIDE LPN
Licensed Practical Nurse
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 724-2401
DR. SUZANNE BURGE MD
Family Medicine
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 542-8702
MACIE M CLARK LPN
Licensed Practical Nurse
1564 S WASHINGTON ST
DU QUOIN, IL 62832
Perry County (618) 542-8702

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 Shaheda Mansuri's NPI number?

The NPI number for Shaheda Mansuri is 1598701401. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Shaheda Mansuri located?

Shaheda Mansuri practices at 1564 S Washington St, Du Quoin, IL 62832. The listed phone number is (618) 542-8702.

What is Shaheda Mansuri's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Shaheda Mansuri was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.