| Doctor Name: | DR. JOHN JENNETT SCHAUT |
| NPI Number: | 1164519807 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 3001 Green Bay Rd Stress Disorder Treatment Unit (7ab-144) North Chicago, IL - 600643048 |
| Business Phone Number: | 8476881900 |
| Business Fax Number: | 2246103824 |
| Mailing Address: | 3101 104th St, PLEASANT PRAIRIE |
| State: | WI |
| Postal Code: | 531584419 |
| Phone Number: | 2629481873 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |