Provider Demographics
NPI:1649655861
Name:ERIC R SCHAID DC SC
Entity type:Organization
Organization Name:ERIC R SCHAID DC SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:SCHAID
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-900-6150
Mailing Address - Street 1:2021 MIDWEST RD
Mailing Address - Street 2:100E
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1342
Mailing Address - Country:US
Mailing Address - Phone:815-900-6150
Mailing Address - Fax:
Practice Address - Street 1:2021 MIDWEST RD
Practice Address - Street 2:100E
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1342
Practice Address - Country:US
Practice Address - Phone:815-900-6150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012851111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty