MEDICARE: DR. SCHUYLER WHITNEY STONE

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	036.137864	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	:	1750645263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCHUYLER WHITNEY STONE

Provider Business Mailing Address
First Line	:	PO BOX 19636
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9636
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:	217-545-7127

Provider Business Practice Location Address
First Line	:	701 NORTH 1ST STREET
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9636
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:	217-545-7127

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

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	07/07/2015

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Directions to “ DR. SCHUYLER WHITNEY STONE ” Practice Location

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