MEDICARE: MS. KAMA JOY SCHULTE M.A., L.C.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180001327	IL

General Provider Information

NPI Number	:	1932223963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAMA JOY SCHULTE M.A., L.C.P.C.

Provider Business Mailing Address
First Line	:	PO BOX 577692
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7692
Country	:	US
Telephone Number	:	773-480-8579
Fax Number	:

Provider Business Practice Location Address
First Line	:	561 W DIVERSEY PKWY STE 209
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1682
Country	:	US
Telephone Number	:	773-480-8579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	03/02/2022

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