Provider Demographics
NPI:1891720868
Name:SCHORR, PETER C (PA-C)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:C
Last Name:SCHORR
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4885 HOFFMAN BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3726
Mailing Address - Country:US
Mailing Address - Phone:847-255-9697
Mailing Address - Fax:847-645-6431
Practice Address - Street 1:4885 HOFFMAN BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3726
Practice Address - Country:US
Practice Address - Phone:847-255-9697
Practice Address - Fax:847-645-6431
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085001160363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU58108Medicare UPIN
ILL92025Medicare PIN