Provider Demographics
NPI:1194384743
Name:SCHNECK, ELI (MD)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:SCHNECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E SILVERADO RANCH BLVD UNIT 2091
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-3466
Mailing Address - Country:US
Mailing Address - Phone:847-687-5612
Mailing Address - Fax:
Practice Address - Street 1:9785 S MARYLAND PKWY STE A2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7125
Practice Address - Country:US
Practice Address - Phone:702-474-0077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV26413207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine