Organization
DOCTOR SCHOENEICH MEDICAL OFFICE S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARZENNA M SCHOENEICH M.D. (PRESIDENT)
(630) 534-6100
Entity
Organization
Contact information
Practice address
420 PENNSYLVANIA AVE, 103, GLEN ELLYN, IL 60137-4437
(630) 534-6100
(630) 534-6314
Mailing address
420 PENNSYLVANIA AVE, 103, GLEN ELLYN, IL 60137-4437
(630) 534-6100
(630) 534-6314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558460139
NPI
IL
Enumeration date
08/23/2007
Last updated
09/04/2007
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