Healthcare Provider Details

I. General information

NPI: 1992734511
Provider Name (Legal Business Name): PAUL HAROLD SCHEETZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25646 S GOVERNORS HWY UNIT A
MONEE IL
60449-8921
US

IV. Provider business mailing address

13975 HUSEMAN ST
CEDAR LAKE IN
46303-9055
US

V. Phone/Fax

Practice location:
  • Phone: 708-534-5248
  • Fax: 708-534-5519
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038009781
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: