Provider Demographics
NPI:1255344735
Name:ESCHMEYER, ANDREA SCHADE (ATC)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:SCHADE
Last Name:ESCHMEYER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:SCHADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:1409 E ROSITA DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-5603
Mailing Address - Country:US
Mailing Address - Phone:847-705-7762
Mailing Address - Fax:
Practice Address - Street 1:900 W CENTRAL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2373
Practice Address - Country:US
Practice Address - Phone:847-618-3550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer