Provider Demographics
NPI:1033125919
Name:SCHAIBLE, ANNE ZIELLNSKI (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ZIELLNSKI
Last Name:SCHAIBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 W 95TH ST
Mailing Address - Street 2:STE 403
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2661
Mailing Address - Country:US
Mailing Address - Phone:708-422-3984
Mailing Address - Fax:708-423-5733
Practice Address - Street 1:4400 W 95TH ST
Practice Address - Street 2:STE 403
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2661
Practice Address - Country:US
Practice Address - Phone:708-422-3984
Practice Address - Fax:708-423-5733
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036077622207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL950650Medicare ID - Type Unspecified
E98120Medicare UPIN