Organization
SCHULDT PERFORMANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB SCHULDT (OWNER)
(847) 579-1357
Entity
Organization
Contact information
Practice address
636 RIDGE RD, HIGHLAND PARK, IL 60035-4361
(847) 579-1357
(847) 579-1359
Mailing address
636 RIDGE RD, HIGHLAND PARK, IL 60035-4361
(847) 579-1357
(847) 579-1359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04922184
BCBS
IL
Enumeration date
12/11/2006
Last updated
10/02/2007
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