MEDICARE: DR. ERIN E SCHUTTE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036-110723	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	920540037	OTHER	IL	MEDICARE INDIVIDUAL PTAN
3	920540	OTHER	IL	MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750375432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN E SCHUTTE M.D.

Provider Business Mailing Address
First Line	:	2900 FOXFIELD RD STE 200
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-5799
Country	:	US
Telephone Number	:	630-797-4255
Fax Number	:	630-797-4259

Provider Business Practice Location Address
First Line	:	2900 FOXFIELD RD
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-5799
Country	:	US
Telephone Number	:	630-797-4255
Fax Number	:	630-797-4259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	03/12/2025

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