Doctor Schoeneich Medical Office S. C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOCTOR SCHOENEICH MEDICAL OFFICE S. C.

Practice address

420 Pennsylvania Ave
103
Glen Ellyn, IL 60137-4437

Phone

(630) 534-6100

Fax

(630) 534-6314

NPI assigned

Aug 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marzenna M Schoeneich, M.D.

Title

President

Phone

(630) 534-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1497948368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 PENNSYLVANIA AVE",
            "address_2": "103",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374437",
            "telephone_number": "630-534-6100",
            "fax_number": "630-534-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PENNSYLVANIA AVE",
            "address_2": "103",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374437",
            "telephone_number": "630-534-6100",
            "fax_number": "630-534-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR SCHOENEICH MEDICAL OFFICE S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "SCHOENEICH",
        "authorized_official_first_name": "MARZENNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-534-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558460139",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor H Dietz, M.A.P.C., J.D.
• Paul Edward Difranco, DDS, MS
• Diana Dimeo, LPC
• Gerard Dobkowski, MA LPC CPT
• Docere Health
• Gregory Edward Doerfler, D.D.S.
• Paul David Doodes, D.D.S., PH.D.
• Alice S Douglas, PHARMACIST
• Niki J Douros, D.M.D.
• Noelle Dragon

• Clinic/Center in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.