Provider Demographics
NPI:1922011360
Name:SCHEICH, ADRIENNE M (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:M
Last Name:SCHEICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STEVENS CIR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1832
Mailing Address - Country:US
Mailing Address - Phone:978-474-0402
Mailing Address - Fax:
Practice Address - Street 1:225 E CHICAGO AVE # 65
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-4200
Practice Address - Fax:312-722-7964
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA036-1357882080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0191922Medicaid
I19993Medicare UPIN