Healthcare Provider Details

I. General information

NPI: 1740356823
Provider Name (Legal Business Name): STEVEN ALAN SCHRAIBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 BUSCH PARKWAY
BUFFALO GROVE IL
60089
US

IV. Provider business mailing address

1450 BUSCH PARKWAY
BUFFALO GROVE IL
60089
US

V. Phone/Fax

Practice location:
  • Phone: 847-499-3070
  • Fax: 847-499-3089
Mailing address:
  • Phone: 847-499-3070
  • Fax: 847-499-3089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-085167
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: