Lawrence Alan Short, DPM | |
71 Waukegan Road, Suite 200, Lake Bluff, IL 60044-1662 | |
(847) 295-9301 | |
(847) 295-9607 |
Full Name | Lawrence Alan Short |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 71 Waukegan Road, Lake Bluff, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841306008 | NPI | - | NPPES |
60021233 | Other | IL | BCBS |
363267075 | Other | IL | HUMANA |
363267075 | Other | IL | UNICARE |
000102466006 | Other | IL | UNITED HEALTH CARE |
2502493 | Other | IL | CIGNA |
2137407 | Other | IL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016003095 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lawrence Alan Short, DPM 71 Waukegan Rd, Suite 200, Lake Bluff, IL 60044-3009 Ph: (847) 295-9301 | Lawrence Alan Short, DPM 71 Waukegan Road, Suite 200, Lake Bluff, IL 60044-1662 Ph: (847) 295-9301 |
University Foot Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 71 Waukegan Rd, Suite 200, Lake Bluff, IL 60044 Phone: 847-295-9300 Fax: 847-295-9607 |