Individual
WANAKE SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 BRITTANY SQ APT 2, GRAYSLAKE, IL 60030-1356
(312) 877-4562
Mailing address
705 BRITTANY SQ APT 2, GRAYSLAKE, IL 60030-1356
(312) 877-4562
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
PRIVATE
—
05
—
000000000
—
IL
Enumeration date
01/25/2020
Last updated
01/25/2020
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