Provider Demographics
NPI:1902134190
Name:SCHIMEL, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SCHIMEL
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 1:3706 PEBBLE BEACH RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3110
Mailing Address - Country:US
Mailing Address - Phone:847-687-9248
Mailing Address - Fax:847-564-4113
Practice Address - Street 1:3706 PEBBLE BEACH RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-3110
Practice Address - Country:US
Practice Address - Phone:847-687-9248
Practice Address - Fax:847-564-4113
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-26
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036051303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine