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NPI Code Detail

MEDICARE: ANGELA SCHNOBEL MS, CCC-SLP-L

MEDICARE:   ANGELA  SCHNOBEL  MS, CCC-SLP-L
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 PathologistIL

General Provider Information

NPI Number : 1457561482
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SCHNOBEL MS, CCC-SLP-L
Provider Business Mailing Address
First Line : 14755 COLONIAL PKWY
Second Line :
City : PLAINFIELD
State : IL
Zip : 60544-2666
Country : US
Telephone Number : 815-609-0247
Fax Number :
Provider Business Practice Location Address
First Line : 212 BARNEY DR
Second Line :
City : JOLIET
State : IL
Zip : 60435-5271
Country : US
Telephone Number : 815-725-2194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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Directions to “ ANGELA SCHNOBEL MS, CCC-SLP-L” Practice Location

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