Healthcare Provider Details

I. General information

NPI: 1225876816
Provider Name (Legal Business Name): CHELSEA ANN SCHROEDER-LOZADA DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA A SCHROEDER

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 12/01/2024
Certification Date: 12/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 W HOWARD ST
CHICAGO IL
60626-1707
US

IV. Provider business mailing address

1555 W HOWARD ST
CHICAGO IL
60626-1707
US

V. Phone/Fax

Practice location:
  • Phone: 773-764-7146
  • Fax: 773-764-3774
Mailing address:
  • Phone: 269-932-5629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.030294
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: