Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 99023861A | IN |
NPI | 1558426700 |
---|---|
Provider Name | Mrs. Natalie Schultz |
First Address | Willowbrook, IL 60527-6043 |
Second Address | Joliet, IL 60435-2879 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 19/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B76703 | (02) |