Healthcare Provider Details

I. General information

NPI: 1558212969
Provider Name (Legal Business Name): KIRSTEN SCHULTZ BSN-RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRSTEN PLUNKETT BSN-RN, FNP-BC

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W 95TH ST STE 310
OAK LAWN IL
60453-2660
US

IV. Provider business mailing address

29373 NETWORK PL
CHICAGO IL
60673-1293
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-9230
  • Fax: 708-684-9231
Mailing address:
  • Phone: 847-390-5900
  • Fax: 847-390-4757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.034916
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: