Individual provider Active NPI

Kathryn Ruth Schwerman, DEVELOPMENTAL THERAP

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Mundelein, IL
National Provider Identifier
1174657605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
KK44980601P Issued in IL
Practice address
21290 Sylvan Dr S
Mundelein, IL 60060-9518
Phone
(847) 909-9562
Fax
(224) 778-6788
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X KK44980601P IL Primary

Addresses

Primary practice location

21290 Sylvan Dr S
Mundelein, IL 60060-9518

Mailing address

21290 Sylvan Dr S
Mundelein, IL 60060-9518
Phone (847) 909-9562

Other identifiers 1

IdentifierTypeStateIssuer
222Q00000XOtherILDEVELOPMENTAL THERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
KK44980601PILMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174657605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21290 SYLVAN DR S",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609518",
            "telephone_number": "847-909-9562",
            "fax_number": "224-778-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21290 SYLVAN DR S",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609518",
            "telephone_number": "847-909-9562",
            "fax_number": "224-778-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERMAN",
        "first_name": "KATHRYN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "DEVELOPMENTAL THERAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "IL",
            "license": "KK44980601P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVELOPMENTAL THERAPIST",
            "identifier": "222Q00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • 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.