Provider Demographics
NPI:1750119699
Name:SCHUERMANN, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SCHUERMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 N RACINE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2191
Mailing Address - Country:US
Mailing Address - Phone:314-374-6529
Mailing Address - Fax:
Practice Address - Street 1:7900 N MILWAUKEE AVE STE 7
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3172
Practice Address - Country:US
Practice Address - Phone:847-595-1945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.028374225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist