Provider Demographics
NPI:1558426700
Name:SCHULTZ, NATALIE (MD)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 568
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-0568
Mailing Address - Country:US
Mailing Address - Phone:773-814-2571
Mailing Address - Fax:
Practice Address - Street 1:8840 CALUMET AVE STE 201
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2546
Practice Address - Country:US
Practice Address - Phone:773-814-2571
Practice Address - Fax:847-966-8821
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99023861A207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B76703Medicare UPIN