Organization Active NPI

Laura M Shea DPM Podiatry Services

  • Podiatric Clinic/Center
  • Chicago, IL
National Provider Identifier
1003525783
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Laura M Shea, DPMNPI 1902814593
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.