Provider Demographics
NPI:1477688323
Name:HAEN-SCHOENWALD, ANGELA M (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:HAEN-SCHOENWALD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:HAEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3140 N WILTON AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5193
Mailing Address - Country:US
Mailing Address - Phone:773-296-8122
Mailing Address - Fax:773-296-7281
Practice Address - Street 1:3140 N WILTON AVE.
Practice Address - Street 2:2ND FL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5193
Practice Address - Country:US
Practice Address - Phone:773-296-8122
Practice Address - Fax:773-296-7281
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008636235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist