Provider Demographics
NPI:1285993972
Name:SCHONAUER, MARGARET (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:SCHONAUER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 S STATE ROUTE 157
Mailing Address - Street 2:SUITE 20
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-3846
Mailing Address - Country:US
Mailing Address - Phone:217-737-0287
Mailing Address - Fax:
Practice Address - Street 1:60 S STATE ROUTE 157
Practice Address - Street 2:SUITE 20
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-3846
Practice Address - Country:US
Practice Address - Phone:217-737-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011022965235Z00000X
IL146011286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist