Sandra E Scholebo (NPI# 1437168622, PAC ID# 4385749720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437168622 |
| PAC ID by PECOS | 4385749720 |
| Professional Enrollment ID | I20070413000367 |
| Full Name | Sandra E Scholebo |
| Organization Legal Name | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Address |
3190 Lancer St Portage IN 46368-4488 |
| Phone Number | 2197643600 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911043054 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3190 Lancer St, Portage, IN 46368-4488 | 2197643600 | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhammad Aouthmany | Dermatology | Illinois Dermatology Institute LLC | 719 S Blvd, Oak Park, IL 60302-2903 |
| Margarita Vega-suarez | Nurse Practitioner | Illinois Dermatology Institute LLC | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 |
| Amanda M Schallman | Physician Assistant | Illinois Dermatology Institute LLC | 1220 Meadow Rd, Suite 210, Northbrook, IL 60062-3671 |
| Leslie E Bernstein | Dermatology | Illinois Dermatology Institute LLC | 1550 Northwest Hwy, Suite 300, Park Ridge, IL 60068-1460 |
| Sara R Dickie | Plastic and Reconstructive Surgery | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Louisa K Gehlmann | Dermatology | Illinois Dermatology Institute LLC | 901 N Elm St, Suite 250, Hinsdale, IL 60521-3632 |
| Marianne N Odonoghue | Dermatology | Illinois Dermatology Institute LLC | 2434 S Wolf Rd, Westchester, IL 60154-5634 |
| Charles Zugerman | Dermatology | Illinois Dermatology Institute LLC | 1 E Delaware Pl, Suite 501, Chicago, IL 60611-1666 |
| Melanie E Griem | Dermatology | Illinois Dermatology Institute LLC | 1420 N Renaissance Dr, Suite 204, Park Ridge, IL 60068-1330 |
| Jennifer A Croix | Dermatology | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Street Address |
3190 LANCER ST |
| City | PORTAGE |
| State | IN |
| Zip | 46368-4488 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily M Garritson | Dermatology | Illinois Dermatology Institute LLC | 3190 Lancer St, Portage, IN 46368-4488 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey R Robertson | Clinical Social Worker | 6840 Prairie Run Ave, Portage, IN 46368-2665 | |
| Carol Barbara Hillmann | Clinical Psychologist | 2610 Portage Mall, Portage, IN 46368-3008 | |
| Kim Paul Cory | Optometry | 6509 Central Ave, Portage, IN 46368-3101 | |
| Scott A Cory | Ophthalmology | 6509 Central Ave, Portage, IN 46368-3101 | |
| Daniel R Dewar | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Michael A Villanueva | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Jesse T Murphy | Podiatry | Podiatric Medical Associates PC | 6289 Central Ave, Portage, IN 46368-3725 |
| David Parks | Psychologist, Clinical | 6337 Central Ave, Portage, IN 46368-3801 | |
| Jaclyn Renee Stitt | Chiropractic | 6325 Central Ave, Portage, IN 46368-3801 | |
| Shreyas Arvind Desai | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Find all physicians in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTAGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra E Scholebo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.