Individual
DIANA E SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1700 HENRY LUCKOW LN, BELVIDERE, IL 61008
(779) 696-8650
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-009756
IL
Other
Enumeration date
11/16/2012
Last updated
02/19/2021
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