Individual
JACLYN M SCHUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 GLENWOOD AVE, JOLIET, IL 60435-5487
(815) 725-2121
(815) 741-5518
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
135-001000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005923
—
IL
Enumeration date
04/08/2018
Last updated
08/18/2023
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