Individual
KELLY SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1243
(217) 366-1220
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1243
(217) 366-1220
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036174533
IL
Other
Enumeration date
06/29/2020
Last updated
08/19/2025
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