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Individual

JULI LYNN SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637
(309) 624-8818
(309) 624-8820
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8818
(309) 624-8820

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL26945
SC
208000000X
Pediatrics Physician
LL26945
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269453
SC
01
GP4841
MEDICAID GROUP #
SC
01
P00648615
RAILROAD MEDICARE ID
SC
01
P00775517
RAILROAD MEDICARE ID-AFTER 5/1/2009
SC
Enumeration date
10/25/2006
Last updated
08/03/2018
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