Individual
THERESA ANN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1190 FORTUNE BLVD, SHILOH, IL 62269-7358
(314) 286-6988
(314) 289-7660
Mailing address
709 EDMAR ST, SMITHTON, IL 62285-3045
(618) 719-4059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041291569
IL
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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