Healthcare Provider Details

I. General information

NPI: 1770135865
Provider Name (Legal Business Name): MARY ANNE SCHUSTER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST STE 1310
CHICAGO IL
60602-1863
US

IV. Provider business mailing address

1000 S CLARK ST UNIT 2012
CHICAGO IL
60605-2195
US

V. Phone/Fax

Practice location:
  • Phone: 773-665-9950
  • Fax:
Mailing address:
  • Phone: 847-769-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: