Healthcare Provider Details

I. General information

NPI: 1699846006
Provider Name (Legal Business Name): JILL LOUISE SCHOENEMAN-PARKER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 N ARLINGTON HEIGHTS RD SUITE 304-E
ARLINGTON HEIGHTS IL
60004-3982
US

IV. Provider business mailing address

1218 WASHINGTON ST
EVANSTON IL
60202-1622
US

V. Phone/Fax

Practice location:
  • Phone: 847-670-0880
  • Fax: 847-670-1268
Mailing address:
  • Phone: 847-328-1582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: