Individual
SAMUEL TAYLOR SCHWEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2202 HARLEM ROAD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Mailing address
2202 HARLEM ROAD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-007656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00841045
RAILROAD MEDICARE
IL
Enumeration date
10/17/2008
Last updated
03/22/2017
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