Individual
MRS. CHANTILLE RENEE SCHRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
668 CHAPMAN ST, EDWARDSVILLE, IL 62025-1258
(314) 477-7161
(618) 307-5517
Mailing address
668 CHAPMAN ST, EDWARDSVILLE, IL 62025-1258
(314) 477-7161
(618) 307-5517
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
CS3102.608P
IL
Other
Enumeration date
06/24/2008
Last updated
06/30/2008
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