Healthcare Provider Details

I. General information

NPI: 1063347599
Provider Name (Legal Business Name): CARLEIGH MARIE SCHAFER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ASHLAND AVE
RIVER FOREST IL
60305-1438
US

IV. Provider business mailing address

1100 ASHLAND AVE
RIVER FOREST IL
60305-1438
US

V. Phone/Fax

Practice location:
  • Phone: 708-870-1479
  • Fax:
Mailing address:
  • Phone: 708-870-1479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR277475
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: