Provider Demographics
NPI:1538773957
Name:SCHRAMM, MICHELLE LEIGH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LEIGH
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:LEIGH
Other - Last Name:PEARLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2111 CLAUDE BAILEY PKWY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IL
Mailing Address - Zip Code:61356-8618
Mailing Address - Country:US
Mailing Address - Phone:815-875-4551
Mailing Address - Fax:
Practice Address - Street 1:2111 CLAUDE BAILEY PKWY
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IL
Practice Address - Zip Code:61356-8618
Practice Address - Country:US
Practice Address - Phone:815-875-4551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist