Individual
MRS. VICKI ANNE SCHULTZ-GONTARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CPON, APN
Contact information
Practice address
5841 S MARYLAND AVE, MC 4060, CHICAGO, IL 60637-1447
(773) 834-8115
(773) 702-9881
Mailing address
5841 S MARYLAND AVE, MC 4060, CHICAGO, IL 60637-1447
(773) 834-8115
(773) 702-9881
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
209002789
IL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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