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Individual

PENELOPE JANE SCHMICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
6030 ROOSEVELT RD, OAK PARK, IL 60304-2375
(708) 386-0845
(708) 386-8472
Mailing address
2055 W ARMY TRAIL RD, SUITE 104, ADDISON, IL 60101-1478
(630) 705-1010
(630) 705-1049

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
04460
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2075409
OH
01
75541
UNSPECIFIED
OH
Enumeration date
07/13/2005
Last updated
09/26/2008
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