Healthcare Provider Details

I. General information

NPI: 1083820294
Provider Name (Legal Business Name): DEBORAH SUSAN SCHY RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CODY LN
DEERFIELD IL
60015-4513
US

IV. Provider business mailing address

50 CODY LANE
DEERFIELD IL
60015-4513
US

V. Phone/Fax

Practice location:
  • Phone: 847-405-9249
  • Fax: 847-940-0418
Mailing address:
  • Phone: 847-405-9249
  • Fax: 847-940-0418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number041-182462
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: