LAURA M SHEA DPM PODIATRY SERVICES
NPI 1003525783
Clinic/Center - Podiatric in Chicago, IL

Active since November 21, 2022
6323 N AVONDALE AVE STE 103, CHICAGO, IL 60631(847) 993-7423(847) 993-7420 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Podiatric

About LAURA M SHEA DPM PODIATRY SERVICES

This page provides the complete NPI Profile along with additional information for Laura M Shea Dpm Podiatry Services, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1003525783 assigned on November 2022. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Laura M Shea Dpm (Owner/physician)

NPI
1003525783 Verify this NPI
Provider Name
LAURA M SHEA DPM PODIATRY SERVICES
Entity Type
Organization
Location Address
6323 N AVONDALE AVE STE 103 CHICAGO, IL 60631
Location Phone
(847) 993-7423
Location Fax
(847) 993-7420
Mailing Address
6323 N AVONDALE AVE STE 103 CHICAGO, IL 60631
Mailing Phone
(847) 993-7423
Mailing Fax
(847) 993-7420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2022
Last Update Date
11-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAURA M SHEA DPM

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(708) 289-7300

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
016005081MEDICAID (05)IL 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
6323 N AVONDALE AVE STE 103
CHICAGO, IL 60631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003525783, enumerated as an "organization" on November 21, 2022.

The provider is located at 6323 N AVONDALE AVE STE 103 CHICAGO, IL 60631 and the phone number is (847) 993-7423.

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.