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Individual

JEAN SCHUMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
340 W LINCOLN ST, SUITE 540, BELLEVILLE, IL 62220-1900
(618) 222-1341
(618) 222-1487
Mailing address
340 W LINCOLN ST, SUITE 540, BELLEVILLE, IL 62220-1900
(618) 222-1341
(618) 222-1487

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-003172
IL
363AM0700X
Medical Physician Assistant
50-00-2092
OH
363AS0400X
Surgical Physician Assistant
PA6450
MA

Other

Enumeration date
07/29/2005
Last updated
02/27/2018
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