Shelly L Bledsoe (NPI# 1821098542, PAC ID# 8820024227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1821098542 |
| PAC ID by PECOS | 8820024227 |
| Professional Enrollment ID | I20050715000882 |
| Full Name | Shelly L Bledsoe |
| Address |
8012 S Crandon Ave Chicago IL 60617-1124 |
| Phone Number | 7733565000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140181 | SOUTH SHORE HOSPITAL |
| 140103 | ST BERNARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2306 E 75th St, Chicago, IL 60649-3306 | 7737310014 | |
| 8012 S Crandon Ave, Chicago, IL 60617-1124 | 7733565000 |
| Street Address |
8012 S CRANDON AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60617-1124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| C Tyson | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Jaspal Singh | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Khadeer K Ahmed | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 8012 S Crandon Ave, South Shore Hospital, Chicago, IL 60617-1124 |
| So J Kim | Anesthesiology | Steven R Greenwald Md Sc | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Sudheer Paruchuri | Interventional Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Arpit Suresh Shah | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Suite 100, Chicago, IL 60617-1124 | |
| Daniel P Saviano | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Frank M Marmo | Diagnostic Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Mahdi A Alsaden | General Surgery | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Syed M Husain | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunder Vinodkumar | Internal Medicine | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Ronald D Gordineer | Psychiatry | J C Medical Group Ltd | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Larry Mitchell | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Steven R Greenwald | Anesthesiology | Steven R Greenwald Md Sc | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Kiran B Khanolkar | Family Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Chandra S Anand | Internal Medicine | J C Medical Group Ltd | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Jason Chen | Internal Medicine | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Howley M Stevenson | Family Practice | 8012 S Crandon Ave, Suite 201, Chicago, IL 60617-1124 | |
| Robert C Marks | Psychiatry | J C Medical Group Ltd | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Kiljung K Kim | Anesthesiology | Kim Anesthesiologists, P.C. | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Find all physicians in zip 60617 | |||
| City | CHICAGO |
| Zip Code | 60617 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | CHICAGO + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Shelly L Bledsoe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.