Provider Demographics
NPI:1558534826
Name:SHELDON D SCHWARTZ MD SC
Entity Type:Organization
Organization Name:SHELDON D SCHWARTZ MD SC
Other - Org Name:SHELDON DEWEY SCHWARTZ MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-463-3300
Mailing Address - Street 1:3434 W PETERSON AVE
Mailing Address - Street 2:SUITE #1A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3300
Mailing Address - Country:US
Mailing Address - Phone:773-463-3300
Mailing Address - Fax:773-463-3664
Practice Address - Street 1:3434 W PETERSON AVE
Practice Address - Street 2:SUITE #1A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3300
Practice Address - Country:US
Practice Address - Phone:773-463-3300
Practice Address - Fax:773-463-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty