Organization
JAMES L SCHUTZENHOFER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LOUIS SCHUTZENHOFER MD (MD)
(618) 545-1705
Entity
Organization
Contact information
Practice address
1050 MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801
(618) 545-1705
(618) 545-1703
Mailing address
1050 MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801
(618) 545-1705
(618) 545-1703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06132002
BLUE SHIELD
IL
Enumeration date
07/06/2006
Last updated
08/15/2007
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