MEDICARE: MR. JULIAN C. SCHINK M.D.

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	207VX0201X	Gynecologic Oncology Physician	4301104277	MI
2	207VX0201X	Gynecologic Oncology Physician	036067499	IL

General Provider Information

NPI Number	:	1124018528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JULIAN C. SCHINK M.D.

Provider Business Mailing Address
First Line	:	2520 ELISHA AVE
Second Line	:
City	:	ZION
State	:	IL
Zip	:	60099
Country	:	US
Telephone Number	:	847-872-4561
Fax Number	:

Provider Business Practice Location Address
First Line	:	2361 PAYSPHERE CIR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674
Country	:	US
Telephone Number	:	847-746-4358
Fax Number	:	616-486-6110

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	01/17/2024

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