Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036122432 | IL |
Y | 207RI0011X | Interventional Cardiology | 036122432 | IL |
NPI | 1093974693 |
---|---|
Provider Name | Dr. Daniel Richard Schimmel JR. |
First Address | Chicago, IL 60611-2927 |
Second Address | Chicago, IL 60611-2927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 25/02/2020 |