MEDICARE: TIMOTHY GEORGE SCHNELL 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	207R00000X	Internal Medicine Physician	LL39779	SC
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036.161256	IL

General Provider Information

NPI Number	:	1518319268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY GEORGE SCHNELL M.D.

Provider Business Mailing Address
First Line	:	11900 SOUTHWEST HWY STE 101
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1307
Country	:	US
Telephone Number	:	708-274-4900
Fax Number	:	708-274-4949

Provider Business Practice Location Address
First Line	:	11900 SOUTHWEST HWY STE 101
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1307
Country	:	US
Telephone Number	:	708-274-4900
Fax Number	:	708-274-4949

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

Provider Enumeration Date	:	07/06/2016
Last Update Date	:	07/20/2022

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