Individual
DR. JOAN ELLEN SCHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
18599 LAKE SHORE BLVD, SIUTE 300, EUCLID, OH 44119-1093
(216) 383-6090
(216) 383-5371
Mailing address
18599 LAKE SHORE BLVD, SIUTE 600, EUCLID, OH 44119-1093
(216) 383-6090
(216) 383-5371
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002525S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341768928
FEDERAL TAX ID
OH
01
—
36002525S
OHIO PODIATRY LICENCE
OH
01
—
4252980014
DME
—
01
—
425384190
DME
OH
01
—
E0627666
PIN
OH
Enumeration date
08/10/2006
Last updated
09/30/2014
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