Organization
SCHMIDT/FAITH ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNE M SCHMIDT (PRESIDENT)
(847) 854-1873
Entity
Organization
Contact information
Practice address
1700 E ALGONQUIN RD, STE 216, ALGONQUIN, IL 60102-9632
(847) 854-1873
(847) 854-3975
Mailing address
1700 E ALGONQUIN RD, ALGONQUIN, IL 60102-9632
(847) 854-1873
(847) 854-3975
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
248000457
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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