Individual
CHRISTOPHER SCHENEWERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4017 ILLINOIS STATE ROUTE 159, STE. 101, SMITHTON, IL 62285-9998
(618) 257-2875
(618) 257-2895
Mailing address
4017 ILLINOIS STATE ROUTE 159, STE. 101, SMITHTON, IL 62285
(618) 257-2875
(618) 257-2895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099178
—
IL
05
—
1154328722
—
IL
Enumeration date
06/28/2005
Last updated
02/04/2021
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