MEDICARE: MRS. ROSE ANN SCHNEIDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1164567962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE ANN SCHNEIDER

Provider Business Mailing Address
First Line	:	1525 8TH ST
Second Line	:
City	:	ORION
State	:	IL
Zip	:	61273-9786
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 N PROSPECT ST
Second Line	:	114
City	:	CAMBRIDGE
State	:	IL
Zip	:	61238-1049
Country	:	US
Telephone Number	:	309-507-1350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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