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Contact Information

SCOTT K SCHONEWOLF, MD
305 W JACKSON ST
SUITE 200
CARBONDALE, IL62901
 Phone: 618-453-3777
 Fax: 618-453-1102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SCOTT K SCHONEWOLF · (Male)

NPI # 1114996204
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-114842
  • IL Medicaid 036114842
Hospital affiliation(s)
  • HERRIN HOSPITAL - (Acute Care)
    201 S 14TH ST
    HERRIN, IL 62948
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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