Provider Demographics
NPI:1831148022
Name:SCHEIBLER-VENTRESS, CHRISTINA L (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:L
Last Name:SCHEIBLER-VENTRESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:L
Other - Last Name:VENTRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 E PLUMMER BLVD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-8047
Mailing Address - Country:US
Mailing Address - Phone:217-483-3487
Mailing Address - Fax:217-483-8150
Practice Address - Street 1:101 E PLUMMER BLVD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:IL
Practice Address - Zip Code:62629-8047
Practice Address - Country:US
Practice Address - Phone:217-483-3487
Practice Address - Fax:217-483-8150
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036114220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FAMILY MEDICINEOtherTYPE OF RESIDENCY
JUNE 2006OtherRESIDENCY COMPLETION