MEDICARE: DR. DAVID SCHIMEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036051303	IL

General Provider Information

NPI Number	:	1902134190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SCHIMEL M.D.

Provider Business Mailing Address
First Line	:	3706 PEBBLE BEACH RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-3110
Country	:	US
Telephone Number	:	847-687-9248
Fax Number	:	847-564-4113

Provider Business Practice Location Address
First Line	:	3706 PEBBLE BEACH RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-3110
Country	:	US
Telephone Number	:	847-687-9248
Fax Number	:	847-564-4113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2009
Last Update Date	:	11/05/2015

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