Individual
LEANNE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
81 MATT RDG, VALPARAISO, IN 46383-7973
(219) 808-0958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041339540
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
209027323
IL
Other
Enumeration date
03/23/2023
Last updated
09/19/2023
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