Provider Demographics
NPI:1609369057
Name:SCHMITZ, CHELSEA MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:MARIE
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 BARBERRY TRL
Mailing Address - Street 2:
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-1248
Mailing Address - Country:US
Mailing Address - Phone:785-633-7654
Mailing Address - Fax:
Practice Address - Street 1:602 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-2026
Practice Address - Country:US
Practice Address - Phone:847-426-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.033322122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist