Healthcare Provider Details

I. General information

NPI: 1174673925
Provider Name (Legal Business Name): SCHUMACHER & DALTON ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 SOUTH ST
EFFINGHAM IL
62401-2565
US

IV. Provider business mailing address

506 SOUTH ST
EFFINGHAM IL
62401-2565
US

V. Phone/Fax

Practice location:
  • Phone: 217-342-3120
  • Fax: 217-342-3156
Mailing address:
  • Phone: 217-342-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberS526-7905-8138
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MARK CONLIFFE
Title or Position: OWNER
Credential: DO
Phone: 502-639-8722