Individual
DR. THEODOR AUGUST SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(618) 530-1591
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(618) 530-1591
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.060336
IL
Other
Enumeration date
06/26/2011
Last updated
06/26/2011
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