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1215223425
THEODOR AUGUST SCHMIDT
PEORIA, IL
NPI
1215223425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125.060336)
Enumeration Date
2011-06-26
Last Update Date
2011-06-26
Business Address
Dr. THEODOR AUGUST SCHMIDT M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 618-530-1591
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Mailing Address
Dr. THEODOR AUGUST SCHMIDT M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 618-530-1591
Copy
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