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Shaina Mann , PA-C

Physician Assistant β€’ Palos Park, IL

Active NPI 1164374492 Individual Practitioner Female Practitioner
Practice location in NPPES

13011 S 104th Ave Ste 100
Palos Park, IL 604641508

Call 7082743278 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13011 S 104th Ave Ste 100

Palos Park, IL 604641508

Telephone 7082743278
Fax 7082743299
Organization at the Same NPPES Address or Phone
Heart Care Centers Of Illinois, Sc Facility NPI 1508810086

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mokena, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Shaina Mann as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Palos Park and Illinois

4 active clinicians are listed under Physician Assistant with a practice address in Palos Park, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.012049

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

10260 191st St Ste 102

Mokena, IL 604488802

Phone: 7084784224

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Dr. John Arrotti , MD

Internal Medicine - Cardiovascular Disease

NPI 1790749455

Doctor of Medicine (M.D.)

Dr. Roy Bliley , MD

Internal Medicine - Interventional Cardiology

NPI 1225092992

Doctor of Medicine (M.D.)

Dr. Mohammed Hasan Khan , MD

Internal Medicine - Interventional Cardiology

NPI 1063844959

Doctor of Medicine (M.D.)

Mary Hewitt , APN

Nurse Practitioner - Adult Health

NPI 1952653438

Advanced Practice Nurse

Dr. Robert Iaffaldano , MD

Internal Medicine - Interventional Cardiology

NPI 1043274145

Doctor of Medicine (M.D.)

Dr. Peter Kakavas , MD

Internal Medicine - Cardiovascular Disease

NPI 1528022191

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 24, 2026

Registered at 13011 S 104TH AVE STE 100, PALOS PARK, IL 604641508 (Tel: 7082743278)

πŸ“
Updated Business Mailing Address July 24, 2026

Registered at 13011 S 104TH AVE STE 100, PALOS PARK, IL 604641508 (Tel: 7082743278)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2026

Physician Assistant (license number reported to NPPES: IL 085.012049)

βœ…
NPI Profile Active February 10, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 10, 2026

Registered at 641 W FULLERTON PKWY UNIT G, CHICAGO, IL 606142677 (Tel: 3179796339)

πŸ“
Business Mailing Address (Initial Record) February 10, 2026

Registered at 641 W FULLERTON PKWY UNIT G, CHICAGO, IL 606142677 (Tel: 3179796339)

πŸ‘€
Provider Name / Credentials (Initial Record) February 10, 2026

Recorded as SHAINA MANN, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2026

Physician Assistant

🟒
Initial NPI Registration & Enumeration February 10, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164374492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2026
Last Update: July 24, 2026
Sole Proprietor: Yes

Mailing Address

13011 S 104th Ave Ste 100

Palos Park, IL 604641508

Phone: 7082743278

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.