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NPI Code Detail

MEDICARE: DR. ROBERT DENNIS SHELBY LCSW

MEDICARE:  DR. ROBERT DENNIS SHELBY  LCSW
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
1104100000XSocial WorkerIL
21041C0700XClinical Social WorkerIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10001671068OTHERILBLUE CROSS ILLINOIS

General Provider Information

NPI Number : 1154333862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DENNIS SHELBY LCSW
Provider Business Mailing Address
First Line : 180 N MICHIGAN AVE STE 2413
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7474
Country : US
Telephone Number : 219-406-0571
Fax Number : 312-726-5716
Provider Business Practice Location Address
First Line : 180 N MICHIGAN AVE STE 2413
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7474
Country : US
Telephone Number : 219-406-0571
Fax Number : 312-726-5716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 09/11/2025

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Directions to “ DR. ROBERT DENNIS SHELBY LCSW” Practice Location

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