Provider Demographics
NPI:1013301423
Name:SCHLICK, CARY JO RITA (MD)
Entity Type:Individual
Prefix:
First Name:CARY JO
Middle Name:RITA
Last Name:SCHLICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARY
Other - Middle Name:
Other - Last Name:SCHLICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2419 OVERLOOK RD APT 16
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2436
Mailing Address - Country:US
Mailing Address - Phone:320-291-6075
Mailing Address - Fax:
Practice Address - Street 1:2419 OVERLOOK RD APT 16
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44106-2436
Practice Address - Country:US
Practice Address - Phone:320-291-6075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program