DR. SHELLY LYNNE BLEDSOE


Address: 2306 E 75th St, Chicago, IL 60649-3306
Phone: 7737310014

DR. SHELLY LYNNE BLEDSOE (NPI# 1821098542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821098542
Entity Type Individual
Full Name DR. SHELLY LYNNE BLEDSOE
Credential M.D.
Practice Address 2306 E 75th St
Chicago
IL 60649-3306
Mailing Address 808 Merry Ln
Oak Brook
IL 60523-1420
Practice Telephone 7737310014
Practice Fax Number 7737312034
Mailing Telephone 6305869930
Mailing Fax Number 6305309425
Enumeration Date 2005-07-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
IL Allopathic & Osteopathic Physicians

Office Location

Street Address 2306 E 75TH ST
City CHICAGO
State IL
Zip Code 60649-3306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588737142 Fon Yei Sun Wu Family Medicine 2306 E 75th St, Chicago, IL 60649-3306 2006-11-15
1962574434 Ying Yih Wu General Practice 2306 E 75th St, Chicago, IL 60649-3306 2006-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386250199 A Safe Haven, L.L.C. Clinic/Center 7342-46 S Kingston, Chicago, IL 60649 2020-09-17
1477178713 Angela K Coleman Counselor 1955 E 71st Street, Chicago, IL 60649 2020-06-12
1245880715 Familydoc Urgent Care LLC Clinic/Center 7201 S Stony Island Ave, Chicago, IL 60649 2019-09-17
1912498668 Venessel N/a Woodson I Radiology 7674 S. Southshore Dr #1n, Chicago, IL 60649 2018-05-29
1689117764 Susana Jimenez Occupational Therapy Assistant 2649 E. 75th St, Chicago, IL 60649 2016-11-22
1063863579 Regina Whittmon Driver 7808 S Coles Ave Apt 3, Chicago, IL 60649 2016-06-27
1174912356 Montsho Gallardo Doula 7653 S Coles Ave, Chicago, IL 60649 2015-01-12
1780922120 April Ong Physical Therapist 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 2013-01-18
1114288594 Days Adult Day Care and Personal Care Providers Inc Clinic/Center 2455 E 75th St, Chicago, IL 60649 2012-06-02
1891064887 Kevin Forrest Occupational Therapist 2425 E. 71st Street, Chicago, IL 60649 2011-12-20
Find all providers in zip 60649

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396267324 Congress Vascular Center LLC Surgery 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 2017-07-11
1235454968 Margaret Claire Rigamer Surgery 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 2010-04-06
1255536355 Omar Morcos Surgery 840 S Wood St # 958, Chicago, IL 60612-4325 2007-06-19
1497890750 Balasubramaniam S Iyer Surgery 1945 W Wilson Avenue, Suite #2115, Chicago, IL 60640-5255 2007-02-21
1013079367 Karen J. Ho Surgery 676 N Saint Clair St Ste 650, Chicago, IL 60611-2929 2006-12-14
1225075104 Daniel Katz, M.d., L.L.C. Surgery 4696 N Marine Dr, Suite 5b, Chicago, IL 60640-5714 2006-06-01
1285602805 Amy Reed Surgery 4700 N Marine Dr Ste 315, Chicago, IL 60640-7976 2006-03-09
1760019905 Margaret Ann Reilly Surgery 251 E Huron St, Chicago, IL 60611-3055 2020-03-26
1124588264 Calvin Chao Surgery 251 E Huron St, Chicago, IL 60611-2908 2019-03-24
1396276887 Andres Guerra Surgery 251 E Huron St, Chicago, IL 60611-2908 2017-03-25
Find all providers in CHICAGO

Competitor

Search similar providers

City CHICAGO
Zip Code 60649

Improve Information

Please comment or provide details below to improve the information on DR. SHELLY LYNNE BLEDSOE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches