Organization
CHICAGOLAND FOOT AND ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SHEFFEY DPM (PRESIDENT)
(773) 239-0702
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636066
BCBS
IL
01
—
DF7576
RAILROAD MEDICARE
IL
Enumeration date
08/10/2006
Last updated
01/03/2019
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