Active NPI
Stephanie Michele Trautmann
- Surgery Physician
- Chicago, IL
National Provider Identifier
1225787880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125.080324
- Practice address
- 1750 W Harrison St Ste 775
Chicago, IL 60612-3825 - Phone
- (312) 942-5000
- NPI assigned
- Mar 21, 2022
- Last updated
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 125.080324 | IL | Primary |
Addresses
Primary practice location
1750 W Harrison St Ste 775
Chicago, IL 60612-3825
Mailing address
1750 W Harrison St Ste 775
Chicago, IL 60612-3825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220818000155 | IL | Order and Referring Only - General Surgery | 3476936881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.080324 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1225787880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 W HARRISON ST STE 775",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 W HARRISON ST STE 775",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123825",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUTMANN",
"first_name": "STEPHANIE",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125.080324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Trauma Care Professionals, PLLC
- Trauma Support Services PLLC
- Trauma Therapy Chicago LLC
- Kimberly Trauth, LCSW
- Brittany Elise Trauthwein, PSY.D.
- Amy Margaret Trautwein, DPT
- Travel Health Partners Il PLLC (Passport Health)
- Travel Health Partners Il PLLC
- Travel Health Partners Il PLLC
- Erica Traver, M.S. ED CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.