Provider Demographics
NPI:1871166561
Name:SCHMIDT, MICHELE MARIE (RN DON)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RN DON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 FRANCISCAN DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-3787
Mailing Address - Country:US
Mailing Address - Phone:815-617-2030
Mailing Address - Fax:
Practice Address - Street 1:1270 FRANCISCAN DRIVE
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439
Practice Address - Country:US
Practice Address - Phone:815-617-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041213765163WI0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0600XNursing Service ProvidersRegistered NurseInfection Control