# DOCTOR SCHOENEICH MEDICAL OFFICE S. C.

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

## Provider details

- **NPI number:** 1497948368
- **Authorized official:** DR. MARZENNA M SCHOENEICH M.D. (PRESIDENT)
- **Authorized official phone:** (630) 534-6100

## Contact information

- **Practice address:** 420 PENNSYLVANIA AVE, 103, GLEN ELLYN, IL 60137-4437
- **Practice address phone:** (630) 534-6100
- **Practice address fax:** (630) 534-6314
- **Mailing address:** 420 PENNSYLVANIA AVE, 103, GLEN ELLYN, IL 60137-4437
- **Mailing address phone:** (630) 534-6100
- **Mailing address fax:** (630) 534-6314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 09/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558460139 | NPI | IL |