Provider Demographics
NPI:1598318404
Name:SCHMITT, BRIANNA MAUREEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:MAUREEN
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4933 BENCHMARK CENTRE DR STE B
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-8927
Mailing Address - Country:US
Mailing Address - Phone:618-628-1212
Mailing Address - Fax:618-628-8520
Practice Address - Street 1:4933 BENCHMARK CENTRE DR STE B
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-8927
Practice Address - Country:US
Practice Address - Phone:618-628-1212
Practice Address - Fax:618-628-8520
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001725231H00000X
IL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1023020518OtherNPI NUMBER OF OTHER PROVIDER IN OFFICE