Mcshane, Maureen T

Mcshane, Maureen T is an individual health care provider with primary practice located at 15300 West Ave , Orland Park IL 60462-4600. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Mcshane, Maureen T can be contacted via phone (708) 448-3668.

Contact Information

Primary practice address
15300 West Ave Orland Park IL 60462-4600
Phone: (708) 448-3668
Fax: (708) 590-6605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004635 Illinois

Profile Details

NPI number 1043211386
LBN Legal business name Mcshane, Maureen T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043211386 NPPES
Illinois MEDICAID 016004635

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