Individual
DAVID A SCHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 EAST 12TH STREET, SUITE 600, MENDOTA, IL 61342-9216
(815) 538-7200
(815) 539-1444
Mailing address
1401 EAST 12TH STREET, MENDOTA, IL 61342-9216
(815) 539-7461
(815) 538-5516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036068326
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068326
—
IL
Enumeration date
07/21/2006
Last updated
12/30/2011
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