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NPI Code Detail

MEDICARE: DR. ERIC SCHAEFER M.D.

MEDICARE: DR. ERIC SCHAEFER 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
1207R00000XInternal Medicine Physician036123048IL

General Provider Information

NPI Number : 1205915550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC SCHAEFER M.D.
Provider Business Mailing Address
First Line : 251 E HURON ST
Second Line : FEINBERG 16-738
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-926-5924
Fax Number : 312-926-6134
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 18-200
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5929
Country : US
Telephone Number : 312-695-8630
Fax Number : 312-695-6007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 04/18/2019

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