Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 036067499 | IL |
N | 207VX0201X | Gynecologic Oncologist | 4301104277 | MI |
NPI | 1124018528 |
---|---|
Provider Name | Mr. Julian C. Schink |
First Address | Zion, IL 60099 |
Second Address | Chicago, IL 60674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 07/06/2017 |