Sheldon L Edelson MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHELDON L EDELSON MD SC

Practice address

4640 N Marine Dr
A6200
Chicago, IL 60640-5719

Phone

(773) 334-8633

Fax

(773) 334-8681

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon Edelson, M.D.

Title

President

Phone

(773) 334-8633

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1316029499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "address_2": "A6200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-334-8633",
            "fax_number": "773-334-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "address_2": "A6200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-334-8633",
            "fax_number": "773-334-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON L EDELSON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-334-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "0021608860",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane C Shelby, M.ED.
• Robert Dennis Shelby, LCSW
• Samantha Michael Shelby, RBT
• Sarah Shelby, PHD
• Sheldon D Schwartz MD SC
• Sheldon S. Greenberg, M.D., S.C.
• Brooke Sheldon
• Nicole J Sheldon, L.AC.
• Stephen Howard Sheldon, DO
• Kelley Lynne Shellenberger, APRN, CNP

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.