Search › Illinois › 152W00000X
Kenneth Schaidle, O.D
NPI 1639166226 · on the registry since 2005
Practice
- Address
- 4620 N University St
Peoria, IL 61614 - Phone
- (309) 692-8222
- Fax
- (309) 692-8226
- Organisation at this address
- J A K Enterprises Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois