Individual
JORI SHEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1475 E BELVIDERE RD, GRAYSLAKE, IL 60030-2012
(847) 582-2134
(847) 535-7285
Mailing address
1475 E BELVIDERE RD, GRAYSLAKE, IL 60030-2012
(847) 582-2134
(847) 535-7285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068691
IL
207RH0003X
Hematology & Oncology Physician
Primary
036151591
IL
208000000X
Pediatrics Physician
125.068691
IL
Other
Enumeration date
05/25/2016
Last updated
09/06/2022
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