Active NPI
Kathryn Ruth Schwerman, DEVELOPMENTAL THERAP
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Mundelein, IL
National Provider Identifier
1174657605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- KK44980601P
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | Other | IL | DEVELOPMENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| KK44980601P | IL | MD | Respiratory/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.