MEDICARE: JALENE ANNE SHOENER M.D.

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	036.134281	IL
2	208000000X	Pediatrics Physician	036.134281	IL

General Provider Information

NPI Number	:	1841589843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JALENE ANNE SHOENER M.D.

Provider Business Mailing Address
First Line	:	840 S WOOD ST
Second Line	:	M/C 856
City	:	CHICAGO
State	:	IL
Zip	:	60612-4325
Country	:	US
Telephone Number	:	312-996-8337
Fax Number	:	312-413-1421

Provider Business Practice Location Address
First Line	:	1801 W TAYLOR ST
Second Line	:	SUITE 2E AND SUITE 3
City	:	CHICAGO
State	:	IL
Zip	:	60612-4795
Country	:	US
Telephone Number	:	312-996-7416
Fax Number	:	312-413-1421

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

Provider Enumeration Date	:	03/31/2011
Last Update Date	:	05/07/2026

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