Healthcare Provider Details

I. General information

NPI: 1124018528
Provider Name (Legal Business Name): JULIAN C. SCHINK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2361 PAYSPHERE CIR
CHICAGO IL
60674
US

IV. Provider business mailing address

2520 ELISHA AVE
ZION IL
60099
US

V. Phone/Fax

Practice location:
  • Phone: 847-746-4358
  • Fax: 616-486-6110
Mailing address:
  • Phone: 847-872-4561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number4301104277
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number036067499
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: