Bochat, Summer Evalyn Schaal

Bochat, Summer Evalyn Schaal is an individual health care provider with primary practice located at 750 E Terra Cotta Ave Ste C , Crystal Lake IL 60014-3621. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Bochat, Summer Evalyn Schaal can be contacted via phone (847) 639-5800.

Contact Information

Primary practice address
750 E Terra Cotta Ave Ste C Crystal Lake IL 60014-3621
Phone: (847) 639-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 970-25 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.005355 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 970-25 Wisconsin

Profile Details

NPI number 1144472523
LBN Legal business name Bochat, Summer Evalyn Schaal
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Dec 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144472523 NPPES
Wisconsin MEDICAID 43260300
Wisconsin MEDICAID 100004663
Wisconsin Other 1417141227
Wisconsin Other 1144472523

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