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Individual

EUGENE R SCHNITZLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 2700), MAYWOOD, IL 60153
(708) 216-2662
(708) 216-5617
Mailing address
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 2700), MAYWOOD, IL 60153
(708) 216-2662
(708) 216-5617

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
03C063808
IL
2084N0400X
Neurology Physician
036063808
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036063808
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036063808
IL
01
1606817
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/12/2006
Last updated
09/26/2022
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