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ANNETTE V SHORES M.D.
NPI 1912903857
Surgery in Mount Vernon, IL

Active since June 24, 2005
2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 62864(618) 899-3980(618) 899-4793 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Annette V Shores M.d. NPPES

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

ANNETTE V SHORES M.D. (NPI 1912903857) is an individual surgery provider in Mount Vernon, Illinois, licensed in Illinois (036093049) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1912903857
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameANNETTE V SHORESCredential: M.D.
Location Address2 GOOD SAMARITAN WAY, SUITE 235Mount Vernon, IL 62864-2408
Mailing Address2 Good Samaritan Way, Suite 235Mount Vernon, IL 62864-2408 · (618) 899-3980 · Fax (618) 899-4793
Phone(618) 899-3980
Fax(618) 899-4793
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1912903857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036093049
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
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Other Identifiers 4

Medicare PINK35379IL
Medicaid036093049IL
Medicare ID-Type Unspecified916920IL
Medicare UPING35862

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.

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC
Psychiatry & Neurology (Sleep Medicine)
2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1869
JONATHAN L SORENSON CRNA
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1108
DANIEL HOFFMAN MD
Internal Medicine
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
DR. PRATEEK SRINET M.D.
Otolaryngology
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
MR. STEVEN J CLARK MD
Surgery (Plastic and Reconstructive Surgery)
2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3980
MRS. DEBBIE JANE BENDERSKY RPH
Pharmacist
2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4999
DR. ISMAT CHEEMA DO
Internal Medicine
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3607
MARY K MCGARVEY COTA
Occupational Therapy Assistant
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-2400

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 Annette Shores's NPI number?

The NPI number for Annette Shores is 1912903857. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Annette Shores located?

Annette Shores practices at 2 Good Samaritan Way Suite 235, Mount Vernon, IL 62864. The listed phone number is (618) 899-3980.

What is Annette Shores's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Annette Shores was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.