Tobias V Schirmer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2086880 Issued in IL

Practice address

Palombi Middle School
133 South McKinley
Lake Villa, IL 60046

Phone

(847) 245-8459

Fax

(847) 356-0833

NPI assigned

Sep 15, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1104345669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MCKINLEY AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468986",
            "telephone_number": "847-245-8459",
            "fax_number": "847-356-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALOMBI MIDDLE SCHOOL",
            "address_2": "133 SOUTH MCKINLEY",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "60046",
            "telephone_number": "847-245-8459",
            "fax_number": "847-356-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRMER",
        "first_name": "TOBIAS",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "2086880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ruby, PT
• Diamond Ruffin, LSW
• Linnae Rutkowski, LPC
• Victoria Sabaj
• Lauren Scaglione, LSW
• Tonya Lyn Shaw, LSW
• Sumbul Siddiqui, MD, MPH
• Allison Simmons, OT
• Colleen Skotnicki, PT
• Sleepwatchers, PLLC

• Speech-Language Pathologist in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.