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NPI 1962439398

NPI 1962439398 : LAWRENCE E SCHILDER DO : BERWYN, IL

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General NPI Number Information
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    NPI Number           |    1962439398
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    Entity Type          |    Individual 
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    Provider Name        |    LAWRENCE E SCHILDER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/28/2006
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    Last Update Date     |    11/09/2023
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Provider Practice Location Address
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    Address Line         |    3249 OAK PARK AVE 
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    City                 |    BERWYN
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    State                |    IL
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    Zip                  |    60402-3429
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    Country              |    US
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    Telephone            |    708-783-2226
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    929 RIDGE RD STE 5
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    City                 |    MUNSTER
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    State                |    IN
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    Zip                  |    46321-1769
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    Country              |    US
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    Telephone            |    219-836-2000
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    Fax                  |    219-836-8272
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    02005398A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    036071812
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    License Number State |    IL
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