Provider Demographics
NPI:1386153872
Name:SCHANABERGER, ERIN (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SCHANABERGER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:976 HONEYSUCKLE DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5732
Mailing Address - Country:US
Mailing Address - Phone:847-650-3092
Mailing Address - Fax:
Practice Address - Street 1:212 EASTGATE CT
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-3003
Practice Address - Country:US
Practice Address - Phone:847-458-0102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.023146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist