Individual provider Active NPI

Lisa M Schoene, DPM

  • Podiatrist
  • Park City, IL
National Provider Identifier
1891788139
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004452 Issued in IL
Practice address
351 S Greenleaf St
Suite C
Park City, IL 60085
Phone
(847) 263-6073
Fax
(847) 244-7323
NPI assigned
Aug 23, 2005
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004452 IL Primary

Addresses

Primary practice location

351 S Greenleaf St
Suite C
Park City, IL 60085

Mailing address

351 S Greenleaf St.
Suite C
Park City, IL 60085-5725
Phone (847) 263-6073

Other practice location 1

401 W Ontario St Ste 240
Chicago, IL 60654-6957
Phone (312) 642-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209000579 IL Practitioner - Podiatry 6507750957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004452ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Bever DPM LLC Podiatrist CurrentSince Apr 23, 2023 Accepting new patients
Mahesh K Agarwal MD SC Past Accepting new patients

Locations

351 Greenleaf St
Ste C
Park City, IL 60085
Phone (847) 263-6073

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1891788139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S GREENLEAF ST.",
            "address_2": "SUITE C",
            "city": "PARK CITY",
            "state": "IL",
            "postal_code": "600855725",
            "telephone_number": "847-263-6073",
            "fax_number": "847-244-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S GREENLEAF ST",
            "address_2": "SUITE C",
            "city": "PARK CITY",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-263-6073",
            "fax_number": "847-244-7323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Ontario St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606546957",
            "country_code": "US",
            "telephone_number": "312-642-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOENE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, IL

Sources for this page

Verify at the official NPI Registry.