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Doctor Schoeneich Medical Office S. C.

Clinic/Center in Glen Ellyn, IL. Organization (NPI-2).

NPI number1497948368
StatusActive
Last updated in NPPESSep 4, 2007

Details

NPI
1497948368
Entity type
Organization (NPI-2)
Legal business name
Doctor Schoeneich Medical Office S. C.
Organization subpart
No
Enumeration date
Aug 23, 2007
Last updated
Sep 4, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center036-093956ILYes

Practice location

420 Pennsylvania Ave
103
Glen Ellyn, IL 60137-4437

Phone 630-534-6100 · Fax 630-534-6314

Mailing address

420 Pennsylvania Ave
103
Glen Ellyn, IL 60137-4437

Phone 630-534-6100 · Fax 630-534-6314

Authorized official

Marzenna M Schoeneich
President
6305346100

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