Healthcare Provider Details

I. General information

NPI: 1710972187
Provider Name (Legal Business Name): SHERI L SCHREIBER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 02/10/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 W GOLF RD
NILES IL
60714-1113
US

IV. Provider business mailing address

8321 W GOLF RD
NILES IL
60714-1113
US

V. Phone/Fax

Practice location:
  • Phone: 847-720-3504
  • Fax: 224-251-7476
Mailing address:
  • Phone: 847-720-3504
  • Fax: 224-251-7476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036089922
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: