Provider Demographics
NPI:1437269412
Name:SHELDON, DEANN (OD)
Entity Type:Individual
Prefix:DR
First Name:DEANN
Middle Name:
Last Name:SHELDON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DEANN
Other - Middle Name:
Other - Last Name:ADLFINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6233 CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2317
Mailing Address - Country:US
Mailing Address - Phone:708-749-2020
Mailing Address - Fax:
Practice Address - Street 1:15172 S LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4349
Practice Address - Country:US
Practice Address - Phone:708-590-7650
Practice Address - Fax:708-737-7788
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-009312152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL046-009312Medicaid
IL046009312Medicaid
IL046009312Medicaid
ILL98199Medicare PIN