Healthcare Provider Details

I. General information

NPI: 1285609149
Provider Name (Legal Business Name): PATRICIA M SCHULTZ N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA M LONG N.P.

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W JACKSON BLVD STE 1700
CHICAGO IL
60604-3597
US

IV. Provider business mailing address

111 W JACKSON BLVD STE 1700
CHICAGO IL
60604-3597
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 888-731-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number209002885
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209-002885
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: