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NPI Code Detail

MEDICARE: ERIN M SCHILLING ACNP-BC

MEDICARE:   ERIN M SCHILLING  ACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner209-004262IL

General Provider Information

NPI Number : 1295017408
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN M SCHILLING ACNP-BC
Provider Business Mailing Address
First Line : 2160 SOUTH FIRST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-2956
Country : US
Telephone Number : 708-216-0005
Fax Number : 708-216-4948
Provider Business Practice Location Address
First Line : 2160 SOUTH FIRST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-2956
Country : US
Telephone Number : 708-216-0005
Fax Number : 708-216-4948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 05/03/2021

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