Provider Demographics
NPI:1972037919
Name:SCHNIERS, ZACHARY A (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:A
Last Name:SCHNIERS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:ZAC
Other - Middle Name:A
Other - Last Name:SCHNIERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:625 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-8813
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:630-928-5080
Practice Address - Street 1:1050 ADMIRAL WEINEL BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:IL
Practice Address - Zip Code:62236-1988
Practice Address - Country:US
Practice Address - Phone:618-693-3100
Practice Address - Fax:618-281-4442
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program