Schack, Amy Adele
Schack, Amy Adele is an individual health care provider with primary practice located at 2900 Foxfield Rd Ste 100 , St Charles IL 60174-5799. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Schack, Amy Adele can be contacted via phone (630) 377-6500.Contact Information
Primary practice address
2900 Foxfield Rd Ste 100
St Charles IL 60174-5799
Phone: (630) 377-6500
Fax: (630) 377-6577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085006410 | Illinois |
Profile Details
NPI number | 1427568740 |
---|---|
LBN Legal business name | Schack, Amy Adele |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2017 |
Last updated | Jan 6th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427568740 | NPPES |
Illinois | Other | 085006410 | STATE LICENSE |
Illinois | Other | 1145773 | STATE LICENSE |
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