Healthcare Provider Details
I. General information
NPI: 1871235374
Provider Name (Legal Business Name): STEPHANIE ANN SCHREIBER-GONZALEZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/13/2022
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1555 BARRINGTON RD
HOFFMAN ESTATES IL
60169-1019
US
IV. Provider business mailing address
6 IROQUOIS DR
CLARENDON HILLS IL
60514-1122
US
V. Phone/Fax
- Phone: 847-316-6235
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 125080630 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: