Provider Demographics
NPI:1508322686
Name:SCHERBAUER, JENNIFER LYNN (DC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:SCHERBAUER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 W RANDOLPH ST STE C100
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-2213
Mailing Address - Country:US
Mailing Address - Phone:773-372-6306
Mailing Address - Fax:312-294-2491
Practice Address - Street 1:626 W RANDOLPH ST STE C100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-2213
Practice Address - Country:US
Practice Address - Phone:773-372-6306
Practice Address - Fax:312-294-2491
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor