Individual
DR. AMANDA RAE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1505
(309) 655-2000
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
(515) 282-2332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R-9725
IA
2085R0202X
Diagnostic Radiology Physician
Primary
036-149534
IL
2085R0202X
Diagnostic Radiology Physician
A153355
CA
Other
Enumeration date
06/03/2013
Last updated
11/14/2023
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