SAMANTHA SCHULDT


Address: 1855 W Taylor St Ste 3, Chicago, IL 60612-7244
Phone: 3129966554

SAMANTHA SCHULDT (NPI# 1194181040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194181040
Entity Type Individual
Full Name SAMANTHA SCHULDT
Other Name SAMANTHA SCHEELER
Credential FNP-C
Practice Address 1855 W Taylor St Ste 3
Chicago
IL 60612-7244
Practice Telephone 3129966554
Mailing Telephone 3096789613
Enumeration Date 2016-01-07
Last Update Date 2019-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
340232 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209013543 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 1194181040 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
10 Union Sq E, Suite 2l, New York, NY 100033314 2128446745 2128448391

Office Location

Street Address 1855 W TAYLOR ST STE 3
City CHICAGO
State IL
Zip Code 60612-7244

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174899066 Victoria S Lee Otolaryngology 1855 W Taylor St Ste 3, Chicago, IL 60612-7244 2012-03-26

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
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1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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