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Scott William Schimpke

Surgery

Allopathic & Osteopathic Physicians

600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806

PECOS Enrollment

This provider is enrolled in PECOS as SCOTT SCHIMPKE.

Based on the most recent information from CMS, provider Scott William Schimpke is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1104111400
Provider Type
Individual
Full Name
Schimpke, Scott William
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/14/2011
Last Updated
6/14/2011

Contact Information

Practice Location

600 S Paulina St, 527 Acfac, Chicago, IL 60612-3806

(312) 942-6510

Unlisted Fax

Mailing Location

540 N State St, Apt. 3905, Chicago, IL 60654-7231

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125060074 Illinois

Scott William Schimpke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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