DR. LAURA MCGARRY SHEA (NPI# 1902814593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902814593 |
| Entity Type | Individual |
| Full Name | DR. LAURA MCGARRY SHEA |
| Credential | DPM |
| Practice Address |
6323 N Avondale Ave Ste 103 Chicago IL 60631-1962 |
| Practice Telephone | 8479937423 |
| Practice Fax Number | 8479937420 |
| Mailing Telephone | 8479937423 |
| Mailing Fax Number | 8479937420 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005081 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC | 0707390001 | 01 |
| IL | 016005081 | 05 | |
| IL | MEDICARE PROVIDER # | 726711 | 01 |
| IL | BCBC OF ILLINOIS | 60001380 | 01 |
| IL | MEDICARE RR GROUP # | CE8840 | 01 |
| IL | MEDICARE RR PTAN # | P00419869 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Washington Ave, Suite#103, Park Ridge, IL 600684203 | 8479937423 | 8479937420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487901831 | Laura P Shea | Licensed Practical Nurse | 360 Cobb St, Groton, NY 13073-9205 | 2012-08-03 |
| 1912133257 | Laura R Shea | Family Medicine | 8425 Northcliffe Blvd Ste 111, Spring Hill, FL 34606-1107 | 2009-06-01 |
| 1508484809 | Laura Shea | Speech-Language Pathologist | 131 Nw Hawthorne Ave Ste 103, Bend, OR 97703-2957 | 2020-07-13 |
| 1770853376 | Laura Strauss Shea | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2012-01-12 |
| 1326177809 | Laura K Shea | Psychiatry & Neurology | 319 E Madison St Fl 3, Springfield, IL 62701-1035 | 2007-03-02 |
| Street Address |
6323 N AVONDALE AVE STE 103 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
| 1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
| 1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
| 1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
| 1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
| 1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
| 1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
| 1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.