Provider Demographics
NPI:1477660371
Name:SCHEINER, DAVID LAWRENCE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LAWRENCE
Last Name:SCHEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 LEE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4539
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:
Practice Address - Street 1:1301 E 47TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-4507
Practice Address - Country:US
Practice Address - Phone:773-493-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036042416207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036042416Medicaid
362664182OtherHUMANA
IL01134OtherBLUE CHOICE
362664182OtherUNITED HEALTHCARE
362664182OtherCIGNA
0005485045OtherAETNA
IL0001616367OtherBLUE CROSS BLUE SHIELD
110041790OtherRR MEDICARE
D12405Medicare UPIN
464730Medicare ID - Type Unspecified