Provider Demographics
NPI:1356460836
Name:POSEJPAL, SHELLY MAE (DC)
Entity type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:MAE
Last Name:POSEJPAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHELLY
Other - Middle Name:MAE
Other - Last Name:BIDDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4 ELM CREEK DR
Mailing Address - Street 2:APT. 306
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5283
Mailing Address - Country:US
Mailing Address - Phone:630-631-8970
Mailing Address - Fax:630-832-1481
Practice Address - Street 1:102 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:IL
Practice Address - Zip Code:60181-3504
Practice Address - Country:US
Practice Address - Phone:630-832-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor