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Individual

DR. SCOTT E SCHICHTL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1678 NATURES WAY, LINDENHURST, IL 60046-1706
(815) 978-8037
Mailing address
1678 NATURES WAY, LINDENHURST, IL 60046-1706
(815) 978-8037

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
038007445
IL
111NN0400X
Neurology Chiropractor
4861-12
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669453056
FACILITY NPI
IL
01
350054547
MEDICARE RAILROAD #
IL
Enumeration date
11/04/2005
Last updated
04/09/2012
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