MEDICARE: ROBERT J SHEFFEY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	016-005133	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00260559	OTHER	IL	RAILROAD MEDICARE
4	P00390803	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001636066	OTHER	IL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0001621735	OTHER	IL	BCBS
6	131370500	OTHER	IL	DEPT OF LABOR

General Provider Information

NPI Number	:	1063417830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J SHEFFEY DPM

Provider Business Mailing Address
First Line	:	3260 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-2205
Country	:	US
Telephone Number	:	773-239-0702
Fax Number	:	773-239-0712

Provider Business Practice Location Address
First Line	:	3260 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655
Country	:	US
Telephone Number	:	773-239-0702
Fax Number	:	773-239-0712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	01/03/2019

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Directions to “ ROBERT J SHEFFEY DPM” Practice Location

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