Provider Demographics
NPI:1740408749
Name:GENEVA SCHAFFER RN
Entity Type:Organization
Organization Name:GENEVA SCHAFFER RN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN. BSN
Authorized Official - Prefix:MS
Authorized Official - First Name:GENEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-971-8117
Mailing Address - Street 1:1909 HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60651-3518
Mailing Address - Country:US
Mailing Address - Phone:630-971-8117
Mailing Address - Fax:
Practice Address - Street 1:1909 HOLLY AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-3518
Practice Address - Country:US
Practice Address - Phone:630-971-8117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-176248163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty