Healthcare Provider Details

I. General information

NPI: 1609403815
Provider Name (Legal Business Name): JOSHUA AARON SCHAMMEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 W HARRISON ST
CHICAGO IL
60612-3841
US

IV. Provider business mailing address

109 ROBIN ST APT 12
ALBANY NY
12208-3842
US

V. Phone/Fax

Practice location:
  • Phone: 312-563-5000
  • Fax:
Mailing address:
  • Phone: 864-285-2042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberTBD
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number036180529
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: