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Individual

DR. DANIEL JAY SCHULMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
414 DIVISION DR, SUGAR GROVE, IL 60554-5109
(630) 315-1010
(630) 315-1005
Mailing address
414 DIVISION DR, SUGAR GROVE, IL 60554-5109
(630) 315-1010
(630) 315-1005

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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