Healthcare Provider Details

I. General information

NPI: 1427690700
Provider Name (Legal Business Name): SCHUYLER A PEREZ DE SALMERON MSN APN ACCNS-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2019
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 MADISON ST
JOLIET IL
60435-8200
US

IV. Provider business mailing address

1406 N HARLEM AVE APT C
RIVER FOREST IL
60305-1263
US

V. Phone/Fax

Practice location:
  • Phone: 815-725-7133
  • Fax:
Mailing address:
  • Phone: 630-479-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number209020194
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: