Active NPI
Nicholas L. Schlageter, M.D.
- Neurology Physician
- St. Charles, IL
National Provider Identifier
1285728873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036060880
- Practice address
- 2210 Dean St., Suite D
St. Charles, IL 60175 - Phone
- (630) 587-2068
- Fax
- (630) 587-2081
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036060880 | IL | Primary |
Addresses
Primary practice location
2210 Dean St., Suite D
St. Charles, IL 60175
Mailing address
2210 Dean St., Suite D
St. Charles, IL 60175
Phone (630) 587-2068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005338653 | Other | IL | AETNA |
| 130017803 | Other | IL | PALMETTO GBA - RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036060880 | IL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1285728873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 DEAN ST., SUITE D",
"city": "ST. CHARLES",
"state": "IL",
"postal_code": "60175",
"telephone_number": "630-587-2068",
"fax_number": "630-587-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 DEAN ST., SUITE D",
"city": "ST. CHARLES",
"state": "IL",
"postal_code": "60175",
"telephone_number": "630-587-2068",
"fax_number": "630-587-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLAGETER",
"first_name": "NICHOLAS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036060880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005338653",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD MEDICARE",
"identifier": "130017803",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.