| Doctor Schoeneich Medical Office S. C. | |
|
420 Pennsylvania Ave 103 Glen Ellyn IL 60137-4437 | |
| (630) 534-6100 | |
| (630) 534-6314 |
| Full Name | Doctor Schoeneich Medical Office S. C. |
|---|---|
| Speciality | Clinic/center |
| Location | 420 Pennsylvania Ave, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Marzenna M Schoeneich (PRESIDENT) |
| Authorized Official Contact | 6305346100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Schoeneich Medical Office S. C. 420 Pennsylvania Ave 103 Glen Ellyn IL 60137-4437 Ph: (630) 534-6100 | Doctor Schoeneich Medical Office S. C. 420 Pennsylvania Ave 103 Glen Ellyn IL 60137-4437 Ph: (630) 534-6100 |
| NPI Number | 1497948368 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497948368 | NPI | - | NPPES |
| 1558460139 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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