Individual
ROBERT J SHEFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3260 W 111TH ST, CHICAGO, IL 60655
(773) 239-0702
(773) 239-0712
Mailing address
3260 W 111TH ST, CHICAGO, IL 60655-2205
(773) 239-0702
(773) 239-0712
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005133
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001621735
BCBS
IL
01
—
0001636066
BCBS
IL
05
—
016005133
—
IL
01
—
131370500
DEPT OF LABOR
IL
01
—
P00260559
RAILROAD MEDICARE
IL
01
—
P00390803
RAILROAD MEDICARE
IL
Enumeration date
06/16/2005
Last updated
01/03/2019
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