Provider Demographics
NPI:1578315396
Name:SCHAMS, JEFF LORENZO (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:LORENZO
Last Name:SCHAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 W VAN BUREN ST APT 2711
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-0104
Mailing Address - Country:US
Mailing Address - Phone:773-633-5634
Mailing Address - Fax:
Practice Address - Street 1:825 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2597
Practice Address - Country:US
Practice Address - Phone:847-920-4544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.014133111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor