Healthcare Provider Details

I. General information

NPI: 1992306211
Provider Name (Legal Business Name): CHRISTINA MARY SCHAEFER DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 75TH ST
WILLOWBROOK IL
60527-2325
US

IV. Provider business mailing address

4025 N SHERIDAN RD
CHICAGO IL
60613-2010
US

V. Phone/Fax

Practice location:
  • Phone: 630-581-5372
  • Fax: 630-568-3247
Mailing address:
  • Phone: 773-388-1600
  • Fax: 773-840-3182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209022061
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: