Individual
DR. THERESA M SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 SPINNING WHEEL ROAD, SUITE 426, HINESDALE, IL 60521-2914
(630) 323-3050
(630) 323-3058
Mailing address
15 SPINNING WHEEL ROAD, SUITE 426, HINESDALE, IL 60521-2914
(630) 323-3050
(630) 323-3058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11633920
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/04/2008
Last updated
06/20/2012
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