NPI Code Details Logo

NPI 1801416920

NPI 1801416920 : SETH SCHEETZ : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801416920
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SETH SCHEETZ
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2020
-----------------------------------------------------
    Last Update Date     |    07/11/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5841 S MARYLAND AVE # 7082 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60637-1443
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-702-6840
-----------------------------------------------------
    Fax                  |    773-702-2230
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9500 EUCLID AVE 
-----------------------------------------------------
    City                 |    CLEVELAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44195-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    216-444-2200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    35.147634
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.