Provider Demographics
NPI:1619976560
Name:SCHENING, JENNIFER L (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:SCHENING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:107 S MCLEAN BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-1822
Mailing Address - Country:US
Mailing Address - Phone:847-695-9900
Mailing Address - Fax:847-695-9989
Practice Address - Street 1:107 S MCLEAN BLVD
Practice Address - Street 2:STE B
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-1822
Practice Address - Country:US
Practice Address - Phone:847-695-9900
Practice Address - Fax:847-695-9989
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036104509208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036104509Medicaid
IL4532261OtherBCBS ID
IL4532261OtherBCBS ID