Provider Demographics
NPI:1982726006
Name:SCHMIDT, DEANNE M (DDS,PC)
Entity Type:Individual
Prefix:DR
First Name:DEANNE
Middle Name:M
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 FEINBERG CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013
Mailing Address - Country:US
Mailing Address - Phone:847-516-2010
Mailing Address - Fax:847-516-2310
Practice Address - Street 1:1700 E. ALGONQUIN ROAD
Practice Address - Street 2:SUITE 216
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102
Practice Address - Country:US
Practice Address - Phone:847-516-2010
Practice Address - Fax:847-516-2310
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics