Individual
ALEXANDER SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2533 N SOUTHPORT AVE, CHICAGO, IL 60614-7166
(773) 472-2731
(773) 472-2761
Mailing address
2533 N SOUTHPORT AVE, CHICAGO, IL 60614-7166
(773) 472-2731
(773) 472-2761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012480
IL
225100000X
Physical Therapist
PT2174
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
478143
UHA
HI
01
—
99017685996793
TRICARE CHAMPUS
HI
01
—
A0238111
HMSA, HMSA QUEST, 65CP
HI
Enumeration date
08/12/2006
Last updated
11/26/2012
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