MEDICARE: CHRISTA SCHERMERHORN

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
1	225X00000X	Occupational Therapist	OT 7295	CA

General Provider Information

NPI Number	:	1467641191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTA SCHERMERHORN

Provider Business Mailing Address
First Line	:	900 RAND RD STE 300
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-2359
Country	:	US
Telephone Number	:	847-324-3976
Fax Number	:	847-929-1154

Provider Business Practice Location Address
First Line	:	1009 HIGHWAY 22 STE 1
Second Line	:
City	:	FOX RIVER GROVE
State	:	IL
Zip	:	60021-1998
Country	:	US
Telephone Number	:	847-462-8707
Fax Number	:	847-462-9208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	06/11/2021

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Directions to “ CHRISTA SCHERMERHORN ” Practice Location

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