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NPI Code Detail

MEDICARE: MS. AVA SCHNEIDER MA

MEDICARE:  MS. AVA  SCHNEIDER  MA
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
1235Z00000XSpeech-Language Pathologist146001470IL

General Provider Information

NPI Number : 1871952556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AVA SCHNEIDER MA
Provider Business Mailing Address
First Line : 576 PLEASANT AVE
Second Line :
City : HIGHLAND PARK
State : IL
Zip : 60035-4929
Country : US
Telephone Number : 847-570-2048
Fax Number : 847-733-5042
Provider Business Practice Location Address
First Line : 2650 RIDGE AVE EVANSTON HOSPITAL
Second Line : DEPT OF REHABILIATION SERVICES- ROOM 2217- LOUIS
City : EVANSTON
State : IL
Zip : 60201
Country : US
Telephone Number : 847-570-2048
Fax Number : 847-733-5042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 02/23/2016

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Directions to “ MS. AVA SCHNEIDER MA” Practice Location

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