Provider Demographics
NPI:1902964703
Name:EDWARD A SCHULZ DPM
Entity Type:Organization
Organization Name:EDWARD A SCHULZ DPM
Other - Org Name:MUNDELIN FOOT AND ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-566-9030
Mailing Address - Street 1:550 N MIDLOTHIAN ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060
Mailing Address - Country:US
Mailing Address - Phone:847-566-9030
Mailing Address - Fax:847-566-9034
Practice Address - Street 1:550 N MIDLOTHIAN ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060
Practice Address - Country:US
Practice Address - Phone:847-566-9030
Practice Address - Fax:847-566-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty