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NPI Code Detail

MEDICARE: DR. SUSAN MARIE SCHERER M.D.

MEDICARE:  DR. SUSAN MARIE SCHERER  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
12084P0804XChild & Adolescent Psychiatry PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101636047OTHERILBLU CROSS BLUE SHIEL

General Provider Information

NPI Number : 1710050463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN MARIE SCHERER M.D.
Provider Business Mailing Address
First Line : 7351 NORTH AVE # B
Second Line :
City : RIVER FOREST
State : IL
Zip : 60305-1223
Country : US
Telephone Number : 708-205-6018
Fax Number : 708-366-0300
Provider Business Practice Location Address
First Line : 7351 NORTH AVE # B
Second Line :
City : RIVER FOREST
State : IL
Zip : 60305-1223
Country : US
Telephone Number : 708-205-6018
Fax Number : 708-366-0300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SUSAN MARIE SCHERER M.D.” Practice Location

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