Dr. Michael Aubrey Shanholtzer, D.P.M.
Podiatrist in New Lenox, IL. Individual provider (NPI-1).
NPI number1720180656
StatusActive
Last updated in NPPESJun 18, 2013
Details
- NPI
- 1720180656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Aubrey Shanholtzer
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2006
- Last updated
- Jun 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 016003108 | IL | Yes |
Practice location
500 W Maple StSuite 206
New Lenox, IL 60451-2908
Phone 815-485-3369 · Fax 815-485-4925
Mailing address
1514 Eagle Vista DrNew Lenox, IL 60451-2313
Phone 815-485-5862
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Podiatrist providers in New Lenox, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.