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NPI Code Detail

MEDICARE: DR. JOAN ELLEN SCHILLER DPM

MEDICARE:  DR. JOAN ELLEN SCHILLER  DPM
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
1213E00000XPodiatrist36002525SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1341768928OTHEROHFEDERAL TAX ID
236002525SOTHEROHOHIO PODIATRY LICENCE
3425384190OTHEROHDME
44252980014OTHERDME
5E0627666OTHEROHPIN

General Provider Information

NPI Number : 1770594467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOAN ELLEN SCHILLER DPM
Provider Business Mailing Address
First Line : 18599 LAKE SHORE BLVD
Second Line : SIUTE 600
City : EUCLID
State : OH
Zip : 44119-1093
Country : US
Telephone Number : 216-383-6090
Fax Number : 216-383-5371
Provider Business Practice Location Address
First Line : 18599 LAKE SHORE BLVD
Second Line : SIUTE 300
City : EUCLID
State : OH
Zip : 44119-1093
Country : US
Telephone Number : 216-383-6090
Fax Number : 216-383-5371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 09/30/2014

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Directions to “ DR. JOAN ELLEN SCHILLER DPM” Practice Location

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