Individual
MR. NATHANIEL BRIAN SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
199 TOWN SQ STE A, WHEATON, IL 60189-3878
(630) 871-6690
(630) 547-5019
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-009217
IL
363AS0400X
Surgical Physician Assistant
0110-003690
VA
Other
Enumeration date
10/19/2011
Last updated
11/03/2023
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