MEDICARE: EYTAN SZMUILOWICZ MD

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	036121156	IL

General Provider Information

NPI Number	:	1154371672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EYTAN SZMUILOWICZ MD

Provider Business Mailing Address
First Line	:	211 E ONTARIO ST STE 700
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3281
Country	:	US
Telephone Number	:	312-926-0008
Fax Number	:	312-926-4588

Provider Business Practice Location Address
First Line	:	233 E SUPERIOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2913
Country	:	US
Telephone Number	:	312-926-0001
Fax Number	:	312-926-4588

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/21/2022

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