Individual
EMILY SCHWENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
821 S WASHINGTON ST, DU QUOIN, IL 62832-1909
(618) 542-3812
(618) 542-3953
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009978
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009978
—
IL
01
—
0814870007
MEDICARE NSC NUMBER
IL
01
—
0814870018
MEDICARE NSC NUMBER
IL
01
—
0814870024
MEDICARE NSC NUMBER
IL
01
—
0814870027
MEDICARE NSC NUMBER
IL
01
—
134812
HEALTH ALLIANCE
—
01
—
IL9978
EYEMED
—
01
—
P00418704
MEDICARE RAILROAD
IL
Enumeration date
06/29/2007
Last updated
10/06/2008
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