| Schneider Mobile Clinic LLC | |
|
6408 Edge Water Dr Waterloo IL 62298-3059 | |
| (618) 514-0427 | |
| Not Available |
| Full Name | Schneider Mobile Clinic LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6408 Edge Water Dr, Waterloo, Illinois |
| Authorized Official Name and Position | Francis Schneider (OWNER) |
| Authorized Official Contact | 6187196981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schneider Mobile Clinic LLC 6408 Edge Water Dr Waterloo IL 62298-3059 Ph: (618) 514-0427 | Schneider Mobile Clinic LLC 6408 Edge Water Dr Waterloo IL 62298-3059 Ph: (618) 514-0427 |
| NPI Number | 1891454013 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891454013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
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