Provider Demographics
NPI:1366470015
Name:CHARLES H. SCHIKMAN M.D.S.C.
Entity Type:Organization
Organization Name:CHARLES H. SCHIKMAN M.D.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:SCHIKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-676-2877
Mailing Address - Street 1:9669 KENTON AVE
Mailing Address - Street 2:602
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1266
Mailing Address - Country:US
Mailing Address - Phone:847-676-2877
Mailing Address - Fax:847-676-4913
Practice Address - Street 1:9669 KENTON AVE
Practice Address - Street 2:602
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1266
Practice Address - Country:US
Practice Address - Phone:847-676-2877
Practice Address - Fax:847-676-4913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036050917207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213749Medicare ID - Type Unspecified