# KATHLEEN A. SCHROEDER DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073956017
- **Authorized official:** SCOTT GOLDMAN (PRESIDENT)
- **Authorized official phone:** (847) 987-0322

## Contact information

- **Practice address:** 278 MEMORIAL DR, CRYSTAL LAKE, IL 60014-6246
- **Practice address phone:** (815) 455-3110
- **Practice address fax:** (815) 455-7302
- **Mailing address:** 278 MEMORIAL DR, CRYSTAL LAKE, IL 60014-6246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019015377 | IL | Yes |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 04/09/2013
