MEDICARE: MS. JULIE MARIE SCHNEIDER RN, MS, APN/CNP

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	363LA2200X	Adult Health Nurse Practitioner	209-004526	IL

General Provider Information

NPI Number	:	1770680142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE MARIE SCHNEIDER RN, MS, APN/CNP

Provider Business Mailing Address
First Line	:	630 E NORTH AVE
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2127
Country	:	US
Telephone Number	:	630-323-1558
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 E NORTH AVE
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2127
Country	:	US
Telephone Number	:	630-323-1558
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/14/2023

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