Individual
ERIC E. SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-4453
(217) 224-9383
Mailing address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 224-4453
(217) 224-9383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-005316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732001
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/05/2006
Last updated
09/07/2016
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