MEDICARE: DR. SYDNEY W SCHNEIDMAN MD, FACEP, FCEM

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	207P00000X	Emergency Medicine Physician	MD070799L	PA
2	207P00000X	Emergency Medicine Physician	036119428	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679730766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYDNEY W SCHNEIDMAN MD, FACEP, FCEM

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 1000
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8709
Country	:	US
Telephone Number	:	312-695-0665
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 MAPLE AVE # 100
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-3134
Country	:	US
Telephone Number	:	312-694-2014
Fax Number	:

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

Provider Enumeration Date	:	05/18/2008
Last Update Date	:	07/06/2016

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Directions to “ DR. SYDNEY W SCHNEIDMAN MD, FACEP, FCEM” Practice Location

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