Richard A. Schaefer, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

165000214 Issued in IL

Practice address

1111 W Dundee Rd
Wheeling, IL 60090-3936

Phone

(847) 541-6648

Fax

(847) 541-6649

NPI assigned

Nov 22, 2005

Last updated

Mar 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moran-Schaefer Clinic

  • Orthopedic Chiropractor
  • Wheeling, IL
  • NPI 1891902383
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1417930686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903936",
            "telephone_number": "847-541-6648",
            "fax_number": "847-541-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903936",
            "telephone_number": "847-541-6648",
            "fax_number": "847-541-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038006898",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "165000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabrielle Nicolette Scannell
• Jessica Beth Schimmel, LSW
• Denise J Schwartz, P.T., I.M.T., C.
• Tatiana Scolin, M.D,
• Albert Sebandal, NP
• Erin M Seidel, D.C.

• Nutrition Chiropractor in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.