Individual provider Active NPI

Charles E Schutz, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1720354699
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036059171 Issued in IL
Practice address
3260 N Lake Shore Dr
Apt 7B
Chicago, IL 60657-3955
Phone
(773) 525-3129
Fax
(773) 525-3129
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036059171 IL Primary

Addresses

Primary practice location

3260 N Lake Shore Dr
Apt 7B
Chicago, IL 60657-3955

Mailing address

3260 N Lake Shore Dr
Apt 7B
Chicago, IL 60657-3955
Phone (773) 525-3129

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036059171ILMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1720354699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N LAKE SHORE DR",
            "address_2": "APT 7B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573955",
            "telephone_number": "773-525-3129",
            "fax_number": "773-525-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 N LAKE SHORE DR",
            "address_2": "APT 7B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573955",
            "telephone_number": "773-525-3129",
            "fax_number": "773-525-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036059171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.