Provider Demographics
NPI:1568725224
Name:SCHAFF, MATTHEW S (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:SCHAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 E BELVIDERE RD STE 311
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2016
Mailing Address - Country:US
Mailing Address - Phone:847-234-4310
Mailing Address - Fax:224-271-4600
Practice Address - Street 1:1475 E BELVIDERE RD STE 311
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2016
Practice Address - Country:US
Practice Address - Phone:847-234-4310
Practice Address - Fax:224-271-4600
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN64182208800000X
IL036161195208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology