Individual
JEFFREY MICHAEL SCHENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5 LUDWIG DR, FAIRVIEW HEIGHTS, IL 62208-1332
(618) 397-9000
(618) 397-9003
Mailing address
5 LUDWIG DR, FAIRVIEW HEIGHTS, IL 62208-1332
(618) 397-9000
(618) 397-9003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036157832
IL
Other
Enumeration date
04/08/2019
Last updated
12/30/2022
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