MEDICARE: DAN SCHIEBER MA, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	146.004760	IL

General Provider Information

NPI Number	:	1619537495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAN SCHIEBER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	5921 N WINTHROP AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-3997
Country	:	US
Telephone Number	:	773-320-8284
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4213
Country	:	US
Telephone Number	:	773-769-2570
Fax Number	:

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

Provider Enumeration Date	:	06/14/2019
Last Update Date	:	06/14/2019

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Directions to “ DAN SCHIEBER MA, CCC-SLP” Practice Location

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