Provider Demographics
NPI:1518269240
Name:JAMES E. SCHUETZ M.D. LTD.
Entity Type:Organization
Organization Name:JAMES E. SCHUETZ M.D. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SCHUETZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-432-3460
Mailing Address - Street 1:767 PARK AVE W
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2400
Mailing Address - Country:US
Mailing Address - Phone:847-432-3460
Mailing Address - Fax:847-432-3687
Practice Address - Street 1:767 PARK AVE W
Practice Address - Street 2:SUITE 360
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2400
Practice Address - Country:US
Practice Address - Phone:847-432-3460
Practice Address - Fax:847-432-3687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.045898208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty