Provider Demographics
NPI:1922100239
Name:SCHAUB, ELIZABETH JONES (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JONES
Last Name:SCHAUB
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:J
Other - Last Name:BERNSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 REGAN DR
Mailing Address - Street 2:
Mailing Address - City:EAST DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-3027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:514 REGAN DR
Practice Address - Street 2:
Practice Address - City:EAST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-3027
Practice Address - Country:US
Practice Address - Phone:312-213-7771
Practice Address - Fax:708-202-4661
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209003278363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology