Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1182 | IL |
NPI | 1336165208 |
---|---|
Provider Name | Ms. Alice R Schmidt |
First Address | Addison, IL 60101-4120 |
Second Address | Chicago, IL 60612-3728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |