Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 125-053723 | IL |
NPI | 1003062589 |
---|---|
Provider Name | Bernadette Mari Schoneburg |
First Address | Evanston, IL 60201-1700 |
Second Address | Chicago, IL 60612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 19/02/2021 |