Individual
DR. KIMBERLY P SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1777 GREEN BAY RD, HIGHLAND PARK, IL 60035-3109
(847) 433-3460
(847) 433-4062
Mailing address
1777 GREEN BAY RD, HIGHLAND PARK, IL 60035-3109
(847) 433-3460
(847) 433-4062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036109784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109784
—
IL
01
—
P00148713
RR MEDICARE
IL
Enumeration date
08/30/2005
Last updated
02/16/2021
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