person
Paul Tanner Shaffer
Foot & Ankle Surgery Podiatrist in Maywood, Illinois
NPI 1528529187

Paul Tanner Shaffer is a Foot & Ankle Surgery Podiatrist based in Maywood, IL and is specialized in Foot & Ankle Surgery. Paul Tanner Shaffer practices in Maywood, IL. The NPI Number for Paul Tanner Shaffer is 1528529187 and holds a License No. 135001034 (Illinois).

The current practice location address for Paul Tanner Shaffer is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 312-567-2000 and via fax at 312-567-6073.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
person
Provider Profile Details
NPI Number
1528529187
Provider Name
Paul Tanner Shaffer
Credential
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
312-567-2000
Fax Number
312-567-6073
Provider Enumeration Date
03/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
312-567-2000
Fax Number
312-567-6073
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
State
Zip
60153-3328
Phone Number
312-567-2000
Fax Number
312-567-6073
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
135001034 (Illinois)
Definition
Definition to come...
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