Healthcare Provider Details

I. General information

NPI: 1750651345
Provider Name (Legal Business Name): TERESA M SCHIRO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 S GLADSTONE AVE
AURORA IL
60506-4834
US

IV. Provider business mailing address

16 S GLADSTONE AVE
AURORA IL
60506-4834
US

V. Phone/Fax

Practice location:
  • Phone: 630-965-3759
  • Fax:
Mailing address:
  • Phone: 630-965-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041259527
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number041259527
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: