Provider Demographics
NPI:1730813213
Name:SCHAUS, SYDNEY LEEANNE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LEEANNE
Last Name:SCHAUS
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 STONEBLUFF CT
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-2409
Mailing Address - Country:US
Mailing Address - Phone:303-506-6128
Mailing Address - Fax:
Practice Address - Street 1:102 N LOGAN AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-8513
Practice Address - Country:US
Practice Address - Phone:217-442-5863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.025345363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics