Provider Demographics
NPI:1437716461
Name:SHAWN TENHOUSE DPM
Entity Type:Organization
Organization Name:SHAWN TENHOUSE DPM
Other - Org Name:SHAWN W TENHOUSE DPM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TENHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-202-1552
Mailing Address - Street 1:2975 TWO PATHS DR
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-4512
Mailing Address - Country:US
Mailing Address - Phone:630-202-1552
Mailing Address - Fax:888-220-0309
Practice Address - Street 1:2975 TWO PATHS DR
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-4512
Practice Address - Country:US
Practice Address - Phone:630-202-1552
Practice Address - Fax:888-220-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric