MEDICARE: DANIELLE SCHUR

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	225100000X	Physical Therapist	070027494	IL

General Provider Information

NPI Number	:	1215717418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE SCHUR

Provider Business Mailing Address
First Line	:	455 LAKE COOK RD
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5202
Country	:	US
Telephone Number	:	224-285-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1751 W DIVISION ST UNIT C-1E
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4086
Country	:	US
Telephone Number	:	773-278-9050
Fax Number	:

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

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/13/2023

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Directions to “ DANIELLE SCHUR ” Practice Location

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