Healthcare Provider Details

I. General information

NPI: 1235233628
Provider Name (Legal Business Name): MARIE CATHERINE SCHLUND D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N WALNUT ST
ITASCA IL
60143-1730
US

IV. Provider business mailing address

209 N WALNUT ST
ITASCA IL
60143-1730
US

V. Phone/Fax

Practice location:
  • Phone: 630-773-2478
  • Fax: 630-773-3695
Mailing address:
  • Phone: 630-773-2478
  • Fax: 630-773-3695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016 004114
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: