Individual provider Active NPI

Christine L Schwartz Peterson, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1285637801
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036087005 Issued in IL
Practice address
7447 W Talcott Ave Ste 551
Chicago, IL 60631-3722
Phone
(773) 467-9977
Fax
(773) 467-9979
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036087005 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 551
Chicago, IL 60631-3722

Mailing address

7447 W Talcott Ave Ste 551
Chicago, IL 60631-3722
Phone (773) 467-9977

Other identifiers 1

IdentifierTypeStateIssuer
036087005MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000035 IL Practitioner - Family PracticePractitioner - Hospice/Palliative Care 2264574078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036087005ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Journeycare, Inc. Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Presence Healthcare Services Family Medicine Current Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

62311 Collection Center Dr
Chicago, IL 60693

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

Organizations & group practices 4

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1285637801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 551",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313722",
            "telephone_number": "773-467-9977",
            "fax_number": "773-467-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 551",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313722",
            "telephone_number": "773-467-9977",
            "fax_number": "773-467-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ PETERSON",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036087005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087005",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.