KATHLEEN A. SCHROEDER DDS
NPI 1073956017
Dentist - Pediatric Dentistry in Crystal Lake, IL

Active since April 09, 2013
278 MEMORIAL DR, CRYSTAL LAKE, IL 60014(815) 455-3110(815) 455-7302 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen A. Schroeder Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN A. SCHROEDER DDS (NPI 1073956017) is a healthcare organization registered as a pediatric dentistry in Crystal Lake, Illinois and active in the NPI registry since April 2013. The organization lists Scott Goldman, President, as its authorized official.

NPPES Registry Identity

NPI1073956017
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKATHLEEN A. SCHROEDER DDS
Location Address278 MEMORIAL DRCrystal Lake, IL 60014-6246
Mailing Address278 Memorial DrCrystal Lake, IL 60014-6246
Fax(815) 455-7302
Organization SubpartNo
Authorized OfficialScott GoldmanPresident · (847) 987-0322
Enumeration DateApril 9, 2013
NPI 1073956017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IL · 019015377
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
278 MEMORIAL DR, Crystal Lake, IL 60014

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
278 MEMORIAL DR, SUITE B
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen A. Schroeder Dds's NPI number?

The NPI number for Kathleen A. Schroeder Dds is 1073956017. It was assigned to this organization in the NPPES registry on April 9, 2013.

Where is Kathleen A. Schroeder Dds located?

Kathleen A. Schroeder Dds is located at 278 Memorial Dr, Crystal Lake, IL 60014. The listed phone number is (815) 455-3110.

What is Kathleen A. Schroeder Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Kathleen A. Schroeder Dds was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.