Maryanne E Schrage in Kankakee - Physician Assistant

Maryanne E Schrage - NPI 1699760009

Maryanne E Schrage is a Physician Assistant in Kankakee, Illinois. Maryanne E Schrage practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maryanne E Schrage is 1699760009. The last update date is 2012-01-05.

Maryanne E Schrage's current location address is 500 N Wall St, Kankakee, Illinois. You can contact this provider via phone number 8159371237 and fax number 8159330662. The mailing address for Maryanne E Schrage is 500 N Wall St, Kankakee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryanne E Schrage
Address 500 N Wall St, Kankakee, Illinois
Phone Number 8159371237
Fax Number 8159330662
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1699760009
Provider Enumeration Date 2005-09-13
Last Updated Date 2012-01-05

Provider Mailing Address Detail

Address 500 N Wall St
City Kankakee
State Illinois (IL)
Post Code 609012942
Phone Number 8159371237
Fax Number 8159330662

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85001161
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Maryanne E Schrage

What is the unique provider identifier assigned to Maryanne E Schrage?

The Maryanne E Schrage has been issued the NPI (National Provider Identifier) 1699760009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Maryanne E Schrage's facilities are geographically located?

The facilities of Maryanne E Schrage are physically situated at the following location: 500 N Wall St, Kankakee, IL, 609012942.

What is Maryanne E Schrage's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Maryanne E Schrage's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Maryanne E Schrage receive the assignment of its 1699760009 from the Centers for Medicare & Medicaid Services?

The Maryanne E Schrage was issued its 1699760009 by the Centers for Medicare & Medicaid Services on 2005-09-13.

As of what date was the information regarding Maryanne E Schrage, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Maryanne E Schrage, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-05.

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