Provider Demographics
NPI:1154563716
Name:SCHERER, JILLIAN MARIE (MD)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:MARIE
Last Name:SCHERER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:MARIE
Other - Last Name:SCHEFKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6240 N SAINT MARIE RD
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-4113
Mailing Address - Country:US
Mailing Address - Phone:618-746-2676
Mailing Address - Fax:938-238-4770
Practice Address - Street 1:104 N GRANT ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:IL
Practice Address - Zip Code:62450-2612
Practice Address - Country:US
Practice Address - Phone:618-746-2676
Practice Address - Fax:938-238-4770
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-28
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI55057207Q00000X
IL036131780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine