Provider Demographics
NPI:1982988556
Name:DOCS ON WHEELS LLC
Entity type:Organization
Organization Name:DOCS ON WHEELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FERROR-ESTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-404-4971
Mailing Address - Street 1:6007 N SHERIDAN RD
Mailing Address - Street 2:APT 15K
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3039
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5555 N SHERIDAN RD
Practice Address - Street 2:023
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1601
Practice Address - Country:US
Practice Address - Phone:773-271-0807
Practice Address - Fax:773-271-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016002871213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty