MEDICARE: DR. ERIC MICHAEL SCHOENING D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019029186	IL

General Provider Information

NPI Number	:	1013295955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC MICHAEL SCHOENING D.D.S.

Provider Business Mailing Address
First Line	:	996 WILKINSON TRCE
Second Line	:	B6
City	:	BOWLING GREEN
State	:	KY
Zip	:	42103-3407
Country	:	US
Telephone Number	:	270-782-1128
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 S MICHIGAN AVE STE 1306
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-3377
Country	:	US
Telephone Number	:	872-888-9010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2011
Last Update Date	:	10/18/2022

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Directions to “ DR. ERIC MICHAEL SCHOENING D.D.S.” Practice Location

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