Provider Demographics
NPI:1831118694
Name:SCHWULST, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:SCHWULST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:259 E ERIE ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3111
Mailing Address - Country:US
Mailing Address - Phone:312-695-8918
Mailing Address - Fax:312-695-3644
Practice Address - Street 1:259 E ERIE ST STE 1600
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3111
Practice Address - Country:US
Practice Address - Phone:312-695-8918
Practice Address - Fax:312-695-3644
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036124778208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery