Organization
LAURA M SHEA DPM PODIATRY SERVICES
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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