Individual
PAUL TANNER SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(312) 567-2000
(312) 567-6073
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(312) 567-2000
(312) 567-6073
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135001034
IL
Other
Enumeration date
03/27/2019
Last updated
07/08/2021
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