Healthcare Provider Details

I. General information

NPI: 1992639140
Provider Name (Legal Business Name): EMILY SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 EXECUTIVE PL STE 201
GENEVA IL
60134-3805
US

IV. Provider business mailing address

1250 EXECUTIVE PL STE 201
GENEVA IL
60134-3805
US

V. Phone/Fax

Practice location:
  • Phone: 815-223-2337
  • Fax: 815-327-3440
Mailing address:
  • Phone: 815-223-2337
  • Fax: 815-327-3440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-266636
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: