Individual provider · NPI-1
Dr. Shane Patrick Dorsey, MD
Psychiatry & Neurology, Neurology · Evanston, IL
NPI number1346700903
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1346700903
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Patrick Dorsey
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 036169444 | IL | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | 86703 | WI |
Practice location
2650 Ridge Ave Ste G155Evanston, IL 60201-1700
Phone 847-570-2570 · Fax 847-733-5224
Mailing address
2650 Ridge Ave Ste G155Evanston, IL 60201-1700
Phone 847-570-2570 · Fax 847-733-5224
Other practice locations
2116 Craig Rd
Eau Claire, WI 54701-6118
Eau Claire, WI 54701-6118
Phone 715-858-4500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.