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Scott K Schonewolf

Family Doctor Family Doctor - Sports Medicine

305 W Jackson St Suite 200
Carbondale , Illinois 62901

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Scott K Schonewolf

Family Doctor Family Doctor - Sports Medicine

305 W Jackson St Suite 200
Carbondale , Illinois 62901

(618) 536-6621

Write a Review Save Call

Scott K Schonewolf

Family Doctor Family Doctor - Sports Medicine

305 W Jackson St Suite 200
Carbondale , Illinois 62901

(618) 536-6621 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

305 W Jackson St Suite 200 Carbondale , Illinois 62901

First Address

  • Scott K Schonewolf
  • 300 W Oak St
  • Carbondale, IL
  • Zip : 62901-1400
  • Phone : (618) 536-6621

Second Address

  • Scott K Schonewolf
  • 305 W Jackson St Suite 200
  • Carbondale, IL
  • Zip : 62901
  • Fax : (618) 453-1102
  • Phone : (618) 453-3777

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FAQs


Where did Scott K Schonewolf attend graduate school?

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Where did Scott K Schonewolf do his residency?

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Where did Scott K Schonewolf do his fellowship?

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Is Scott K Schonewolf board certified?

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What type of doctor is Scott K Schonewolf

Family Doctor

In what state does Scott K Schonewolf practice in?

Illinois

Where is Scott K Schonewolf ’s practice located?

305 W Jackson St Suite 200 , Carbondale, Illinois, 62901

What is Scott K Schonewolf ’s gender?

Male

Is Scott K Schonewolf a sole practitioner?

No

Is Scott K Schonewolf accepting new patients?

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What languages does Scott K Schonewolf speak?

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Does Scott K Schonewolf accept insurance?

Yes, Scott K Schonewolf accepts insurance

Does Scott K Schonewolf offers telemedicine?

Scott K Schonewolf has not indicated if he offers telemedicine

What is Scott K Schonewolf ’s professional license number?

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What is Scott K Schonewolf ’s NPI number?

1114996204

Does Scott K Schonewolf have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 036-114842 IL
N 207QS0010X Family Doctor - Sports Medicine 036-114842 IL

National Provider Identifier

NPI 1114996204
Provider Name Scott K Schonewolf
First Address Carbondale, IL 62901-1400
Second Address Carbondale, IL 62901
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/03/2006
Last Update Date 09/12/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036114842 (05) IL
I14361 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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