Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598701401 Individual Practitioner Female Practitioner

Dr. Shaheda M Mansuri , MD

General Practice • Du Quoin, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shaheda Mansuri, MD is a registered healthcare professional specializing in General Practice in Du Quoin, IL. Practice services are available at 1564 S WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1564 S Washington St

Du Quoin, IL 628323849

Telephone 6185428702
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Du Quoin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Du Quoin, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036070613

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

2401 W Main St, Vamedical Center

Marion, IL 629591188

Phone: 6189934183

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Autumn Boyd , LPN

Licensed Practical Nurse

NPI 1003917162

Licensed Practical Nurse

Angela Tabels , LPN

Licensed Practical Nurse

NPI 1013648823

Licensed Practical Nurse

Tori Mathis , LPN

Licensed Practical Nurse

NPI 1033369681

Licensed Practical Nurse

Karla Whited , MOA

Physician Assistant - Medical

NPI 1063513133
Billie Fikuart , LPN

Licensed Practical Nurse

NPI 1063641785

Licensed Practical Nurse

Analiese Wilmsmeyer , PA-S

Physician Assistant

NPI 1164350369

PAS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 26, 2019

Registered at 1564 S WASHINGTON ST, DU QUOIN, IL 628323849 (Tel: 6185428702)

📍
Updated Business Mailing Address August 26, 2019

Registered at PO BOX 155, CHRISTOPHER, IL 628220155 (Tel: 6187241624)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

General Practice (License #036070613 in IL)

NPI Profile Active July 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2007

Registered at 2401 W MAIN ST, VAMEDICAL CENTER, MARION, IL 629591188 (Tel: 6189934183)

📍
Updated Business Mailing Address July 13, 2007

Registered at 2401 W MAIN ST, VAMEDICAL CENTER, MARION, IL 629591188 (Tel: 6189934183)

👤
Provider Name / Credentials Updated July 13, 2007

Recorded as SHAHEDA MANSURI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2007

General Practice

🟢
Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598701401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: August 26, 2019
Sole Proprietor: No

Mailing Address

Po Box 155

Christopher, IL 628220155

Phone: 6187241624

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.