Healthcare Provider Details

I. General information

NPI: 1821908419
Provider Name (Legal Business Name): RYNE SCHADE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 GRIFFIN AVE
PEKIN IL
61554-6246
US

IV. Provider business mailing address

24695 IROQUOIS LN
HUDSON IL
61748-9258
US

V. Phone/Fax

Practice location:
  • Phone: 309-347-4277
  • Fax:
Mailing address:
  • Phone: 815-999-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.039788
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: