Active NPI
Laura M Shea DPM Podiatry Services
- Podiatric Clinic/Center
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- LAURA M SHEA DPM PODIATRY SERVICES
- Practice address
- 6323 N Avondale Ave Ste 103
Chicago, IL 60631-1962 - Phone
- (847) 993-7423
- Fax
- (847) 993-7420
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura M Shea, DPM
- Title
- Owner/Physician
- Phone
- (708) 289-7300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
6323 N Avondale Ave Ste 103
Chicago, IL 60631-1962
Mailing address
6323 N Avondale Ave Ste 103
Chicago, IL 60631-1962
Phone (847) 993-7423
National Provider Directory
National Provider DirectoryLocations
6323 N Avondale Ave
Ste 103
Chicago, IL 60631
Phone (847) 993-7423
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1902814593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1003525783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 N AVONDALE AVE STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311962",
"telephone_number": "847-993-7423",
"fax_number": "847-993-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 N AVONDALE AVE STE 103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311962",
"telephone_number": "847-993-7423",
"fax_number": "847-993-7420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA M SHEA DPM PODIATRY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "SHEA",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "708-289-7300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.