Individual
DR. SHELBIE WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MS, MS
Contact information
Practice address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.084651
IL
Other
Enumeration date
05/10/2020
Last updated
07/22/2024
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