Active NPI
Lawrence J Schouten, MD
- Internal Medicine Physician
- Carol Stream, IL
National Provider Identifier
1699770164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036066066
- Practice address
- 501 Thornhill Dr # DDR
Carol Stream, IL 60188 - Phone
- (630) 668-3210
- Fax
- (630) 668-3505
- NPI assigned
- Jun 20, 2005
- Last updated
- Sep 19, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036066066 | IL | Primary |
Addresses
Primary practice location
501 Thornhill Dr # DDR
Carol Stream, IL 60188
Mailing address
501 Thornhill Dr
Carol Stream, IL 60188-2793
Phone (630) 668-3210
Other practice location 1
290 Springfield Dr
Suite 290
Bloomingdale, IL 60108-2214
Phone (630) 893-9660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400172434 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 920540 | Other | IL | MEDICARE PTAN (GROUP) |
| 036066066 | Medicaid | IL |
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 |
|---|---|---|---|
| 036066066 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stratford Internal Medicine, SC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bloomingdale, IL
- NPI 1003978032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1699770164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 THORNHILL DR",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882793",
"telephone_number": "630-668-3210",
"fax_number": "630-668-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 THORNHILL DR # DDR",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60188",
"telephone_number": "630-668-3210",
"fax_number": "630-668-3505"
}
],
"practiceLocations": [
{
"address_1": "290 Springfield Dr",
"address_2": "Suite 290",
"address_purpose": "LOCATION",
"city": "Bloomingdale",
"state": "IL",
"postal_code": "601082214",
"country_code": "US",
"telephone_number": "630-893-9660",
"fax_number": "630-893-9668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHOUTEN",
"first_name": "LAWRENCE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036066066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "F400172434",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "920540",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036066066",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.