Organization
SCHNEIDER MOBILE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS SCHNEIDER (OWNER)
(618) 719-6981
Entity
Organization
Contact information
Practice address
6408 EDGE WATER DR, WATERLOO, IL 62298-3059
(618) 514-0427
Mailing address
6408 EDGE WATER DR, WATERLOO, IL 62298-3059
(618) 514-0427
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
01/03/2023
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