Individual
DR. JEFFREY E SCHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 N ROCKTON AVE, STE 304, ROCKFORD, IL 61103-3619
(815) 964-3333
(815) 964-3331
Mailing address
PO BOX 15730, LOVES PARK, IL 61132-5730
(815) 964-3333
(815) 964-3331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036064323
IL
2086S0127X
Trauma Surgery Physician
036064323
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064323 2
—
IL
01
—
194336
PERSONAL CARE
IL
01
—
204575400
OWCP
IL
Enumeration date
06/23/2005
Last updated
03/13/2013
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