Doctor Name: | DAVID SCHAD |
NPI Number: | 1033595442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 13196 W Nemesis Ave Waukegan, IL - 600873244 |
Business Phone Number: | 8476505653 |
Business Fax Number: | 2626530213 |
Mailing Address: | 13196 W Nemesis Ave, WAUKEGAN |
State: | IL |
Postal Code: | 600873244 |
Phone Number: | 8476505653 |
Fax Number: | 2626530213 |
NPI Enumeration Date: | 08/07/2015 |
NPI Last Update Date: | 08/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |