Provider Demographics
NPI:1174553176
Name:SCHIAPPA, DEBORAH A (DO)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:SCHIAPPA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 N. BARRINGTON RD.
Mailing Address - Street 2:DOB 3, SUITE 4100
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-781-1790
Mailing Address - Fax:847-781-9973
Practice Address - Street 1:1555 N. BARRINGTON RD.
Practice Address - Street 2:DOB 3, SUITE 4100
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-781-1790
Practice Address - Fax:847-781-9973
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036086892207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00061581OtherRAILROAD MEDICARE
IL036086892Medicaid
IL1566003Medicare PIN
IL036086892Medicaid
IL1573003Medicare PIN