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Search › Illinois › 207R00000X

Shannon Rider, MD

NPI 1508846429 · on the registry since 2006

Practice

Address
405 Rushing Dr
Herrin, IL 62948
Phone
(618) 993-3300
Fax
(618) 998-1802
Organisation at this address
Logan Primary Care
Logan Primary Care
Logan Primary Care
Logan Primary Care Service Corp.
Logan Primary Care Service Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois