Provider Demographics
NPI:1851580765
Name:JAMES SCHIAPPA MD SC
Entity Type:Organization
Organization Name:JAMES SCHIAPPA MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-737-3400
Mailing Address - Street 1:7722 S KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1915
Mailing Address - Country:US
Mailing Address - Phone:773-737-3400
Mailing Address - Fax:773-737-4230
Practice Address - Street 1:7722 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1915
Practice Address - Country:US
Practice Address - Phone:773-737-3400
Practice Address - Fax:773-737-4230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2008-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL31601023OtherBCBS
ILK48757Medicare PIN
IL31601023OtherBCBS
IL726180Medicare PIN