Most Relevant Information
Provider Data
| NPI Number: | 1003219932 |
| Provider Name: | LINDA SCHMIDGALL |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209-009627 |
Most Important Dates
| Enumeration Date: | 10/07/2014 |
| Last Updated: | 10/13/2014 |
Provider Practice Location
420 NE GLEN OAK AVE
SUITE 200
PEORIA
IL
616033105
Practice Location Phone/Fax
| Phone: | 3096245100 |
| Fax: | 3096245569 |
Provider Mailing Location
420 NE GLEN OAK AVE
SUITE 201
PEORIA
IL
616033105
Provider Mailing Phone/Fax
| Phone: | 3096245100 |
| Fax: | 3096245569 |