Healthcare Provider Details
I. General information
NPI: 1558947135
Provider Name (Legal Business Name): LAINA K SCHERI APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2021
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 KISH HOSPITAL DR STE 103
DEKALB IL
60115-9602
US
IV. Provider business mailing address
5 KISH HOSPITAL DR STE 103
DEKALB IL
60115-9602
US
V. Phone/Fax
- Phone: 630-232-0280
- Fax: 630-232-3895
- Phone: 630-232-0280
- Fax: 630-232-3895
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 041.431302 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 277003498 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: