Individual
DR. REX SCHULZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036090615
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00115241
BLUE SHIELD
IL
05
—
036090615
—
IL
01
—
110123
BLUE SHIELD
IL
Enumeration date
04/06/2007
Last updated
01/14/2008
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