Dr Stanton G Schultz, MD | |
416 North 12th Street, Southern Illinois Consultants For Kidney Disease, S.c., Mt. Vernon, IL 62864-4314 | |
(618) 244-4850 | |
(618) 244-7985 |
Full Name | Dr Stanton G Schultz |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 416 North 12th Street, Mt. Vernon, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073513313 | NPI | - | NPPES |
100246480 | Medicaid | IN | |
390004295 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 1027161 (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Dr Stanton G Schultz, MD P.o. Box 1704, 416 North 12th Street, Mt. Vernon, IL 62864-0034 Ph: (618) 244-4850 | Dr Stanton G Schultz, MD 416 North 12th Street, Southern Illinois Consultants For Kidney Disease, S.c., Mt. Vernon, IL 62864-4314 Ph: (618) 244-4850 |
Dr. Fadi Michel Shamsham, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4115 S. Water Tower Place, Mt. Vernon, IL 62864 Phone: 618-204-5462 Fax: 618-204-5472 |