Active NPI
Timothy J Schultz
- Hearing Instrument Specialist
- Bourbonnais, IL
National Provider Identifier
1790927796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2753
- Practice address
- 263 N Convent St
Suite 1
Bourbonnais, IL 60914-2086 - Phone
- (815) 932-7087
- Fax
- (815) 932-3021
- NPI assigned
- Apr 6, 2009
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2753 | IL | Primary |
Addresses
Primary practice location
263 N Convent St
Suite 1
Bourbonnais, IL 60914-2086
Mailing address
263 N Convent St
Suite 1
Bourbonnais, IL 60914-2086
Phone (815) 932-7087
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2753 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1790927796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 N CONVENT ST",
"address_2": "SUITE 1",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142086",
"telephone_number": "815-932-7087",
"fax_number": "815-932-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 N CONVENT ST",
"address_2": "SUITE 1",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142086",
"telephone_number": "815-932-7087",
"fax_number": "815-932-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-06",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "2753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.