Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE STEPHEN HARRIS, PA
Active Sole ProprietorSHANE STEPHEN HARRIS, PA is a Physician Assistant healthcare provider located in LIBERTYVILLE, Illinois. NPI 1528762879 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1528762879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2023 (3.3646249535045 yrs)
- Last Updated
- Sep 18, 2025
- Licenses
-
085.009911 (IL)8293 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1860 W WINCHESTER RD STE 106LIBERTYVILLE, IL, 600485312Browse IL providers · Browse ZIP 60048
- Phone
- 8478166335
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| IGOR YALOVETSKIY | PA C | 1801884283 |
| MS. WENDY A FREDERICK | PA-C | 1811198690 |
| DANA ARCHER | PA-C | 1598958282 |
| MS. ELIZABETH K BARUFFI | PA-C | 1477749430 |
| RON-GRAN PINEDA APILADO | PA | 1073779088 |
| LAURA M IRBY | PA-C | 1962668590 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.