Individual provider Active NPI

Aimee Schroeder, PA-C

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1154031474
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009401 Issued in IL
Practice address
14552 John Humphrey Dr
Orland Park, IL 60462
Phone
(708) 226-6858
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.009401 IL Primary

Addresses

Primary practice location

14552 John Humphrey Dr
Orland Park, IL 60462

Mailing address

9169 Windsor Dr
Palos Hills, IL 60465-1169
Phone (708) 214-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.009401ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates PC CurrentSince Dec 1, 2022 Accepting new patients
Anita Arora MD PC PastSince Dec 6, 2022 Accepting new patients

Locations

3900 Gabrielle Ln
Unit 9130
Aurora, IL 60598

3749 W 95th St
Evergreen Park, IL 60805
Phone (708) 422-6569

14552 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 226-6858

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1154031474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9169 WINDSOR DR",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651169",
            "telephone_number": "708-214-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14552 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "708-226-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "AIMEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.