Provider Demographics
NPI:1346419975
Name:SCHUETTPELZ, LAURA GRAVES (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:GRAVES
Last Name:SCHUETTPELZ
Suffix:
Gender:
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-454-6018
Mailing Address - Fax:844-621-4392
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV PED HEMATOLOGY AND ONC, STE 9S
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6018
Practice Address - Fax:844-621-4392
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20090053292080P0207X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204393904Medicaid
MO1346419975Medicaid