Provider Demographics
NPI:1609350131
Name:SCHMIDT, MOLLY WENZEL (DNP, RN, CRNA)
Entity Type:Individual
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First Name:MOLLY
Middle Name:WENZEL
Last Name:SCHMIDT
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Gender:F
Credentials:DNP, RN, CRNA
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Mailing Address - Street 1:680 N. LAKE SHORE DRIVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-8709
Mailing Address - Country:US
Mailing Address - Phone:312-695-0665
Mailing Address - Fax:312-695-6594
Practice Address - Street 1:251 E HURON ST STE 5-704
Practice Address - Street 2:FEINBERG PAVILION
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3055
Practice Address - Country:US
Practice Address - Phone:312-695-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-12-13
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Provider Licenses
StateLicense IDTaxonomies
IL390200000X
IL209.018467367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program