Healthcare Provider Details

I. General information

NPI: 1699520478
Provider Name (Legal Business Name): ALYSSA DANIELLE STELLA SCHOFIELD DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E 22ND ST STE A
LOMBARD IL
60148-6102
US

IV. Provider business mailing address

1861 N ALBANY AVE
CHICAGO IL
60647-5011
US

V. Phone/Fax

Practice location:
  • Phone: 630-932-2055
  • Fax:
Mailing address:
  • Phone: 734-649-6063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.030747
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number041.462528
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: