Schmicker, Penelope Jane

Schmicker, Penelope Jane is an individual health care provider with primary practice located at 6030 Roosevelt Rd , Oak Park IL 60304-2375. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Schmicker, Penelope Jane can be contacted via phone (708) 386-0845.

Contact Information

Primary practice address
6030 Roosevelt Rd Oak Park IL 60304-2375
Phone: (708) 386-0845
Fax: (708) 386-8472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 04460 Ohio

Profile Details

NPI number 1598763419
LBN Legal business name Schmicker, Penelope Jane
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Sep 26th, 2008 - about 17 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 1598763419 NPPES
Ohio Other 75541 UNSPECIFIED
Ohio MEDICAID 2075409 UNSPECIFIED

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