Individual
DONITA SCHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2801 MATHERS RD, SPRINGFIELD, IL 62711-7064
(217) 241-3586
(217) 726-5867
Mailing address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
209006748
IL
363L00000X
Nurse Practitioner
Primary
277001091
IL
363LA2100X
Acute Care Nurse Practitioner
209006748
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00444962
RAILROAD MEDICARE
IL
Enumeration date
09/11/2007
Last updated
12/28/2021
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