Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 036112175 | IL |
NPI | 1053436345 |
---|---|
Provider Name | Ewa H Schafer |
First Address | Glenview, IL 60026-1324 |
Second Address | Glenview, IL 60026-1361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 20/04/2016 |