Organization
ALLAN J SHOELSON, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN J SHOELSON DPM (PRESIDENT)
(312) 563-2800
Entity
Organization
Contact information
Practice address
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612
(312) 563-2800
(312) 563-2075
Mailing address
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612
(312) 563-2800
(312) 563-2075
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632253
BCBS
IL
Enumeration date
03/29/2007
Last updated
07/06/2010
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