Active NPI
Mary N Schraufnagel, MD
- Internal Medicine Physician
- River Forest, IL
National Provider Identifier
1548214539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036062608
- Practice address
- 7411 Lake St
Ste L-120
River Forest, IL 60305 - Phone
- (708) 488-1919
- Fax
- (708) 488-2370
- NPI assigned
- May 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036062608 | IL | Primary |
Addresses
Primary practice location
7411 Lake St
Ste L-120
River Forest, IL 60305
Mailing address
7411 Lake St
Ste L-120
River Forest, IL 60305
Phone (708) 488-1919
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062608 | Medicaid | IL | |
| 0001634609 | Other | BLUE CROSS GROUP | |
| P00144178 | Other | MEDICARE RAILROAD |
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 |
|---|---|---|---|
| 036062608 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Presbyterian St. Lukes Medical Center | Internal Medicine | Past | Accepting new patients |
| West Suburban Medical Center | Internal Medicine | Past | Accepting new patients |
| West Suburban Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1154370005
-
- Skilled Nursing Facility
- Oak Park, IL
- NPI 1538206974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1548214539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 LAKE ST",
"address_2": "STE L-120",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "60305",
"telephone_number": "708-488-1919",
"fax_number": "708-488-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7411 LAKE ST",
"address_2": "STE L-120",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "60305",
"telephone_number": "708-488-1919",
"fax_number": "708-488-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAUFNAGEL",
"first_name": "MARY",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036062608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062608",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP",
"identifier": "0001634609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00144178",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.