Provider Demographics
NPI:1063600468
Name:SHEININ, JAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:SHEININ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 N WABASH AVE
Mailing Address - Street 2:#1216
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1903
Mailing Address - Country:US
Mailing Address - Phone:312-346-1891
Mailing Address - Fax:312-346-6950
Practice Address - Street 1:111 N WABASH AVE
Practice Address - Street 2:#1216
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1903
Practice Address - Country:US
Practice Address - Phone:312-346-1891
Practice Address - Fax:312-346-6950
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-039955207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21601434OtherBLUE CROSS BLUE SHIELD
ILC41307Medicare UPIN
ILK49774Medicare PIN