Individual
MATTHEW ROLAND SCHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1320 MAPLE AVE, WILMETTE, IL 60091-2545
(847) 902-9535
Mailing address
1320 MAPLE AVE, WILMETTE, IL 60091-2545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
056.008416
IL
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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