Individual
SUZANNE MARIE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 CHILDRENS PLAZA, CHICAGO, IL 60614
(312) 573-4512
(312) 573-8400
Mailing address
2035 W WARNER AVE, CHICAGO, IL 60618
(773) 880-8245
(773) 880-8267
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36447021402
TRICARE
—
Enumeration date
06/16/2006
Last updated
09/06/2007
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