Laura M Shea Dpm Podiatry Services

LBN: Laura M Shea Dpm Podiatry Services
Laura M Shea Dpm Podiatry Services is an health care organization with primary practice located at 6323 N Avondale Ave Ste 103 , Chicago IL 60631-1962. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Laura M Shea Dpm Podiatry Services can be contacted via phone (847) 993-7423, or through Shea, Laura M via phone (708) 289-7300.

Contact Information

Primary practice address
6323 N Avondale Ave Ste 103 Chicago IL 60631-1962
Phone: (847) 993-7423
Fax: (847) 993-7420
Website:
Map and Directions
Authorized official contact:
Name: Shea, Laura M Doctor of Podiatric Medicine (DPM)
Phone: (708) 289-7300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1003525783
LBN Legal business name Laura M Shea Dpm Podiatry Services
DBA Doing business as
Authorized official Shea, Laura M Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2022
Last updated Nov 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003525783 NPPES
Illinois MEDICAID 016005081

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