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NPI Code Detail

MEDICARE: MOLLY SCHREINER

MEDICARE:   MOLLY  SCHREINER
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
1235Z00000XSpeech-Language Pathologist2038744IL

General Provider Information

NPI Number : 1063872299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY SCHREINER
Provider Business Mailing Address
First Line : 1729 W HURON ST
Second Line : UNIT 2
City : CHICAGO
State : IL
Zip : 60622-5621
Country : US
Telephone Number : 815-262-9802
Fax Number :
Provider Business Practice Location Address
First Line : 1422 W WILLOW ST
Second Line : SUITE 101
City : CHICAGO
State : IL
Zip : 60642-8978
Country : US
Telephone Number : 312-399-0370
Fax Number : 312-278-0072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2016
Last Update Date : 03/01/2016

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Directions to “ MOLLY SCHREINER ” Practice Location

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