Schade, Jeffery C

Schade, Jeffery C is an individual health care provider with primary practice located at 924 W Custer Ave , Pontiac IL 61764-1067. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Schade, Jeffery C can be contacted via phone (815) 844-5411.

Contact Information

Primary practice address
924 W Custer Ave Pontiac IL 61764-1067
Phone: (815) 844-5411
Fax: (815) 844-5318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070006360 Illinois

Profile Details

NPI number 1295772929
LBN Legal business name Schade, Jeffery C
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 9th, 2023 - about 3 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 1295772929 NPPES
Illinois Other 650017444 RAILROAD MEDICARE

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