Healthcare Provider Details

I. General information

NPI: 1134101777
Provider Name (Legal Business Name): GORDON T. SCHERZER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 COUNTRY COMMONS RD STE B
TROUT VALLEY IL
60013-2545
US

IV. Provider business mailing address

PO BOX 51
FOX RIVER GROVE IL
60021-0051
US

V. Phone/Fax

Practice location:
  • Phone: 847-639-1010
  • Fax: 847-462-2114
Mailing address:
  • Phone: 847-639-1010
  • Fax: 847-462-2114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number038006976
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: