Individual
LAWRENCE J SCHOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 THORNHILL DR # DDR, CAROL STREAM, IL 60188
(630) 668-3210
(630) 668-3505
Mailing address
501 THORNHILL DR, CAROL STREAM, IL 60188-2793
(630) 668-3210
(630) 668-3505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036066066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066066
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
F400172434
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/20/2005
Last updated
09/19/2018
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