Basic Information
| Provider Information | |||||||||
| NPI: | 1053436345 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHAFER | ||||||||
| FirstName: | EWA | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2050 PFINGSTEN RD | ||||||||
| Address2: | SUITE 320 | ||||||||
| City: | GLENVIEW | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600261324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8479984170 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2150 PFINGSTEN RD | ||||||||
| Address2: | |||||||||
| City: | GLENVIEW | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600261361 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475702431 | ||||||||
| FaxNumber: | 8477335109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2007 | ||||||||
| LastUpdateDate: | 04/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207KA0200X | 036112175 | IL | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy |
No ID Information.