Basic Information
Provider Information
NPI: 1558947135
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHERI
FirstName: LAINA
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: APRN, CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 KISH HOSPITAL DR STE 103
Address2:  
City: DEKALB
State: IL
PostalCode: 601159602
CountryCode: US
TelephoneNumber: 6302320280
FaxNumber: 6303151339
Practice Location
Address1: 5 KISH HOSPITAL DR STE 103
Address2:  
City: DEKALB
State: IL
PostalCode: 601159602
CountryCode: US
TelephoneNumber: 6302320280
FaxNumber: 6303151339
Other Information
ProviderEnumerationDate: 03/23/2021
LastUpdateDate: 03/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X041.431302ILN Nursing Service ProvidersRegistered Nurse 
363L00000X209023054ILY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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