Provider Demographics
NPI:1093795833
Name:SCHULZ, PETER RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:RICHARD
Last Name:SCHULZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N MICHIGAN AVE STE 901
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-3735
Mailing Address - Country:US
Mailing Address - Phone:312-372-2411
Mailing Address - Fax:312-276-4959
Practice Address - Street 1:333 N MICHIGAN AVE STE 901
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3735
Practice Address - Country:US
Practice Address - Phone:312-372-2411
Practice Address - Fax:312-276-4959
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor