Healthcare Provider Details

I. General information

NPI: 1962965269
Provider Name (Legal Business Name): NICHOLAS JOHN SCHLUND DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPALDING DR. 200
NAPERVILLE IL
60540-6552
US

IV. Provider business mailing address

2650 RIDGE AVE. 1223
EVANSTON IL
60201-1718
US

V. Phone/Fax

Practice location:
  • Phone: 630-355-8776
  • Fax: 630-355-7445
Mailing address:
  • Phone: 210-567-4928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR3122
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036173714
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: