Organization
LAURA M SHEA DPM PODIATRY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA M SHEA DPM (OWNER/PHYSICIAN)
(708) 289-7300
Entity
Organization
Contact information
Practice address
6323 N AVONDALE AVE STE 103, CHICAGO, IL 60631-1962
(847) 993-7423
(847) 993-7420
Mailing address
6323 N AVONDALE AVE STE 103, CHICAGO, IL 60631-1962
(847) 993-7423
(847) 993-7420
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005081
—
IL
Enumeration date
11/21/2022
Last updated
11/21/2022
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