Provider Demographics
NPI:1528406188
Name:SCHNEIDER, LAUREN J (DC)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:J
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 PARK AVENUE, SUITE 1D
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:IL
Mailing Address - Zip Code:60022
Mailing Address - Country:US
Mailing Address - Phone:847-835-4400
Mailing Address - Fax:847-563-1330
Practice Address - Street 1:378 PARK AVENUE, SUITE 1D
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:IL
Practice Address - Zip Code:60022
Practice Address - Country:US
Practice Address - Phone:847-835-4400
Practice Address - Fax:847-563-1330
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor