Provider Demographics
NPI:1558664318
Name:SCHOMMER, MARGARET D (APNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:D
Last Name:SCHOMMER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:DRISCOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 735044
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-5044
Mailing Address - Country:US
Mailing Address - Phone:800-326-2250
Mailing Address - Fax:
Practice Address - Street 1:1061 E COMMERCE BLVD
Practice Address - Street 2:
Practice Address - City:SLINGER
Practice Address - State:WI
Practice Address - Zip Code:53086
Practice Address - Country:US
Practice Address - Phone:262-644-2900
Practice Address - Fax:262-644-2977
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4289-033363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100013285Medicaid