Healthcare Provider Details

I. General information

NPI: 1427965946
Provider Name (Legal Business Name): TAMRA MAE SCHULTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 MANCHESTER RD STE 110
WHEATON IL
60187-2474
US

IV. Provider business mailing address

2150 MANCHESTER RD STE 110
WHEATON IL
60187-2474
US

V. Phone/Fax

Practice location:
  • Phone: 331-264-5500
  • Fax: 331-264-6219
Mailing address:
  • Phone: 331-264-5500
  • Fax: 331-264-6219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.012540
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: