Provider Demographics
NPI:1154371672
Name:SZMUILOWICZ, EYTAN (MD)
Entity type:Individual
Prefix:
First Name:EYTAN
Middle Name:
Last Name:SZMUILOWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:211 E ONTARIO ST STE 700
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3281
Mailing Address - Country:US
Mailing Address - Phone:312-926-0008
Mailing Address - Fax:312-926-4588
Practice Address - Street 1:233 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2913
Practice Address - Country:US
Practice Address - Phone:312-926-0001
Practice Address - Fax:312-926-4588
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036121156207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine