Active NPI
David Schatz, MD
- Internal Medicine Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-050407
- Practice address
- 3 Erie CT
Oak Park, IL 60302-2519 - Phone
- (708) 763-2536
- Fax
- (708) 383-7655
- NPI assigned
- Sep 15, 2005
- 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 | 036-050407 | IL | Primary |
Addresses
Primary practice location
3 Erie CT
Oak Park, IL 60302-2519
Mailing address
777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050407 | Medicaid | IL | |
| 21618102 | Other | IL | BCBS PROV NO |
| P00106206 | Other | IL | MEDICARE - RR |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-050407 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Healthcare - Lakefront Medical Associates, LLC | Current | Accepting new patients | |
| West Suburban Medical Center | Internal Medicine | Past | Accepting new patients |
Locations
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
3 Erie Ct
Ste L700
Oak Park, IL 60302
Phone (708) 763-1222
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
1 Erie Ct
Oak Park, IL 60302
Phone (708) 383-1024
3 Erie Ct
Ste L500
Oak Park, IL 60302
Phone (708) 763-2536
7420 Central Ave
River Forest, IL 60305
Phone (708) 763-2700
7411 Lake St
Ste 1120
River Forest, IL 60305
Phone (708) 488-1490
Organizations & group practices 2
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.
-
- General Practice Physician
- Chicago, IL
- NPI 1205301926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1962497925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 OAKMONT LN",
"address_2": "SUITE 1600",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595511",
"telephone_number": "630-789-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ERIE CT",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-763-2536",
"fax_number": "708-383-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHATZ",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-050407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050407",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV NO",
"identifier": "21618102",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - RR",
"identifier": "P00106206",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.