Maureen McShane DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004635 Issued in IL

Legal business name

MAUREEN MCSHANE DPM LLC

Practice address

11238 S Western Ave
Chicago, IL 60643-4116

Phone

(773) 233-0990

Fax

(773) 233-0992

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Maureen T McShane, DPM

Title

Owner

Phone

(773) 233-0990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1972742872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11238 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434116",
            "telephone_number": "773-233-0990",
            "fax_number": "773-233-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11238 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434116",
            "telephone_number": "773-233-0990",
            "fax_number": "773-233-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN MCSHANE DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "MCSHANE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-233-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ILLINOIS",
            "identifier": "001605234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Mauk, MS
• Erica Ruth Mauldin, OTR/L
• Patricia Lee Maule, DNP, FNP-BC, AOCNP
• Kevin Douglas Maupin, MD
• Maureen F. Kreuser, Inc.
• Maureen R Ford, PHD, PC
• Maureen Stress PH.D., P.C.
• Maureen T. Grady, Speech Language Pathologist, LLC
• Anna Maurer, PA-C
• Clifford Paul Maurer, D.C.

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.