Individual
CLAIRE D SCHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036161847
IL
207R00000X
Internal Medicine Physician
39593
SC
207R00000X
Internal Medicine Physician
LL39593
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395931
—
SC
Enumeration date
06/13/2016
Last updated
10/04/2022
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