Richard D Schoenemann II, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

96001975 Issued in IL

Practice address

1816 170TH St
Hazel Crest, IL 60429-1451

Phone

(708) 335-1415

NPI assigned

Aug 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174630966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 170TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291451",
            "telephone_number": "708-335-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 170TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291451",
            "telephone_number": "708-335-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENEMANN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "name_suffix": "II",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "96001975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.