Provider Demographics
NPI:1669595070
Name:SCHILDER, KATHERINE DOLORES (ND, FNP)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:DOLORES
Last Name:SCHILDER
Suffix:
Gender:F
Credentials:ND, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 JANE CT
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1224
Mailing Address - Country:US
Mailing Address - Phone:630-734-0656
Mailing Address - Fax:
Practice Address - Street 1:1506 E ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-6806
Practice Address - Country:US
Practice Address - Phone:630-682-0639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-001240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily