Shawni S Moshiri, dpm
Podiatrist, Foot & Ankle Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1255463576
StatusActive
Last updated in NPPESMay 24, 2013
Details
- NPI
- 1255463576
- Entity type
- Individual (NPI-1)
- Name
- Shawni S Moshiri
- Credential
- dpm
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- May 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 016-004154 | IL | Yes |
Practice location
2801 W Cermak RdChicago, IL 60623-3513
Phone 312-550-0224 · Fax 773-376-9211
Mailing address
Po Box 11232Chicago, IL 60611-0232
Phone 312-550-0224 · Fax 773-376-9211
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