Individual
DR. KIM Y. SCHOENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 CENTRE WEST DR, SPRINGFIELD, IL 62704-2100
(217) 793-9960
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-077736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077736
—
IL
Enumeration date
09/23/2006
Last updated
05/20/2020
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