Thomas Schaefer

Nurse Practitioner · Waukegan, IL

Individual Active NPI

NPI number 1629718879

Practice location

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone
(847) 360-4181

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NPI record

NPI
1629718879
Entity type
Individual (Type 1)
Enumeration date
March 29, 2022
Last updated
June 5, 2022
Certified
June 5, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209.025276 IL
Registered Nurse 163W00000X 041.471722 IL

Mailing address

475 Johelia Trl
Antioch, IL 60002-2507
Phone
(847) 502-2376

About Thomas Schaefer

Thomas Schaefer is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1324 N Sheridan Rd, Waukegan, IL 60085-2161. The NPI number 1629718879 was assigned on March 29, 2022 and the record was last updated on June 5, 2022.

Thomas Schaefer lists 2 licenses in the registry: #209.025276 (IL) for Nurse Practitioner; #041.471722 (IL) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Schaefer?

The NPI number is 1629718879.

What is the phone number of Thomas Schaefer?

The phone number listed for the practice location is (847) 360-4181.

Where is Thomas Schaefer located?

1324 N Sheridan Rd, Waukegan, IL 60085-2161.

What is the taxonomy code for Thomas Schaefer?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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