MEDICARE: JAMES C SHEININ, M.D., LTD

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	207R00000X	Internal Medicine Physician	036-039955	IL
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	036-039955	IL

General Provider Information

NPI Number	:	1164415485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES C SHEININ, M.D., LTD

Provider Business Mailing Address
First Line	:	111 N WABASH AVE
Second Line	:	1216
City	:	CHICAGO
State	:	IL
Zip	:	60602-1903
Country	:	US
Telephone Number	:	312-346-1891
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N WABASH AVE
Second Line	:	1216
City	:	CHICAGO
State	:	IL
Zip	:	60602-1903
Country	:	US
Telephone Number	:	312-346-1891
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT PHYSICIAN
Name	:	DR. JAMES C SHEININ
Credential	:	M.D.
Telephone Number	:	312-346-1891

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/18/2013

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