Basic Information
Provider Information
NPI: 1356754113
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHURLE
FirstName: ALAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 HARVESTER DR STE 300
Address2:  
City: BURR RIDGE
State: IL
PostalCode: 605275965
CountryCode: US
TelephoneNumber: 7737026840
FaxNumber: 7737022230
Practice Location
Address1: 5841 S MARYLAND AVE # MC4028
Address2:  
City: CHICAGO
State: IL
PostalCode: 606371443
CountryCode: US
TelephoneNumber: 7737026840
FaxNumber: 7737022230
Other Information
ProviderEnumerationDate: 06/09/2014
LastUpdateDate: 08/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X036146135ILY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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