Provider Demographics
NPI:1306870217
Name:SCHLIFKE, LOUIS M (PSYD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:M
Last Name:SCHLIFKE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 SHERMER RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5384
Mailing Address - Country:US
Mailing Address - Phone:847-920-4304
Mailing Address - Fax:
Practice Address - Street 1:1935 SHERMER RD
Practice Address - Street 2:SUITE 160
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5384
Practice Address - Country:US
Practice Address - Phone:847-920-4304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006637103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK18136Medicare ID - Type Unspecified
ILQ45067Medicare UPIN