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NPI Code Detail

MEDICARE: ERIN RENEE SCHAFER M.D.

MEDICARE:   ERIN RENEE SCHAFER  M.D.
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
1207Q00000XFamily Medicine Physician036134904IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036134904OTHERILMD LICENSES

General Provider Information

NPI Number : 1407145162
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN RENEE SCHAFER M.D.
Provider Business Mailing Address
First Line : 445 S STATE ST STE 2
Second Line :
City : ROCHESTER
State : IL
Zip : 62563-9316
Country : US
Telephone Number : 217-912-4832
Fax Number : 217-703-8324
Provider Business Practice Location Address
First Line : 445 S STATE ST STE B
Second Line :
City : ROCHESTER
State : IL
Zip : 62563-9317
Country : US
Telephone Number : 217-912-4832
Fax Number : 217-703-8324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 10/09/2025

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Directions to “ ERIN RENEE SCHAFER M.D.” Practice Location

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