MEDICARE: DR. DAVID JAY SCHUMER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1023189479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JAY SCHUMER DDS

Provider Business Mailing Address
First Line	:	756 S ARLINGTON HEIGHTS RD
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3545
Country	:	US
Telephone Number	:	847-439-1371
Fax Number	:	847-439-1373

Provider Business Practice Location Address
First Line	:	756 S ARLINGTON HEIGHTS RD
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3545
Country	:	US
Telephone Number	:	847-439-1371
Fax Number	:	847-439-1373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/08/2007

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