Provider Demographics
NPI:1396716106
Name:SCHLENKER, JAMES DAVID (MDSC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:SCHLENKER
Suffix:
Gender:M
Credentials:MDSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6311 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2201
Mailing Address - Country:US
Mailing Address - Phone:708-423-2258
Mailing Address - Fax:708-423-2305
Practice Address - Street 1:6311 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2201
Practice Address - Country:US
Practice Address - Phone:708-423-2258
Practice Address - Fax:708-423-2305
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360583402082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CL1274OtherRAILROAD MEDICARE
1010380001Medicare NSC
ILC45204Medicare UPIN
ILL27714Medicare PIN
CL1274OtherRAILROAD MEDICARE