Individual
JULIA EVE SHAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1757 RIDGE RD, HOMEWOOD, IL 60430-1812
(708) 799-7500
(708) 798-4563
Mailing address
1757 RIDGE RD, HOMEWOOD, IL 60430-1812
(708) 799-7500
(708) 798-4563
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004714
IL
213ES0131X
Foot Surgery Podiatrist
070009324A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632534
BCBS
IL
01
—
4618176
DEPT OF LABOR
IL
Enumeration date
07/27/2006
Last updated
12/05/2007
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