Provider Demographics
NPI:1851431118
Name:SCHOENE, CAROLE J (APN)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:J
Last Name:SCHOENE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 W BRADLEY AVE
Mailing Address - Street 2:E110
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-2208
Mailing Address - Country:US
Mailing Address - Phone:217-352-6138
Mailing Address - Fax:
Practice Address - Street 1:1600 W BRADLEY AVE
Practice Address - Street 2:E110
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-2208
Practice Address - Country:US
Practice Address - Phone:217-352-6138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-001490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily