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Dr. Michael Aubrey Shanholtzer, DPM
Podiatrist in New Lenox, Illinois
NPI 1720180656

Michael Aubrey Shanholtzer is a Podiatrist based in New Lenox, IL. Michael Aubrey Shanholtzer practices in New Lenox, IL and has the professional credentials of DPM. The NPI Number for Michael Aubrey Shanholtzer is 1720180656 and holds a License No. 016003108 (Illinois).

The current practice location address for Michael Aubrey Shanholtzer is 500 W Maple St, New Lenox, IL and can be reached out via phone at 815-485-3369 and via fax at 815-485-4925.

Location: 500 W Maple St, New Lenox, IL, 60451-2313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720180656
Provider Name
Michael Aubrey Shanholtzer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
500 W Maple St, New Lenox, IL, 60451-2313
Phone Number
815-485-3369
Fax Number
815-485-4925
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60201194 01 IL BLUE CROSS/PRIMARY OFFICE
60010777 01 IL BLUE CROSS/SECOND OFFICE
institution
Provider Business Practice Location Address Details
Address
500 W Maple St
City
New Lenox
State
Illinois
Zip
60451-2908
Phone Number
815-485-3369
Fax Number
815-485-4925
person
Provider Business Mailing Address Details
Address
500 W Maple St
City
New Lenox
State
Illinois
Zip
60451-2908
Phone Number
815-485-3369
Fax Number
815-485-4925
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016003108 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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