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Individual
DR. DANIEL JAY SCHULMAN
Active
Individual
DR. DANIEL JAY SCHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036068021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068021
—
IL
01
—
920540
MEDICARE GROUP PTAN
IL
01
—
F400103207
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
07/28/2006
Last updated
12/10/2014
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