MEDICARE: ASHLEY ELAINE SCHEFFE DPT

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	225100000X	Physical Therapist	070.028668	IL

General Provider Information

NPI Number	:	1932929759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ELAINE SCHEFFE DPT

Provider Business Mailing Address
First Line	:	540 N STATE ST APT 4306
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-7242
Country	:	US
Telephone Number	:	703-728-7857
Fax Number	:

Provider Business Practice Location Address
First Line	:	5151 N BROADWAY ST STE 108
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3009
Country	:	US
Telephone Number	:	773-784-9406
Fax Number	:

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

Provider Enumeration Date	:	10/15/2024
Last Update Date	:	10/15/2024

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