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
Fax: (630) 377-6577
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427568740 NPPES
Illinois Other 085006410 STATE LICENSE
Illinois Other 1145773 STATE LICENSE

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