Active NPI
Patricia Ann Schultz, D.O.
- Emergency Medicine Physician
- Waukegan, IL
National Provider Identifier
1043642085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-093250
- Practice address
- 1507 Waukegan Road
Robert Morris University
Waukegan, IL 60085-6727 - Phone
- (847) 578-6000
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-093250 | IL | Primary |
Addresses
Primary practice location
1507 Waukegan Road
Robert Morris University
Waukegan, IL 60085-6727
Mailing address
1507 Waukegan Road
Robert Morris University
Waukegan, IL 60085
Phone (847) 578-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-093250 | IL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1043642085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 WAUKEGAN ROAD",
"address_2": "ROBERT MORRIS UNIVERSITY",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "60085",
"telephone_number": "847-578-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 WAUKEGAN ROAD",
"address_2": "ROBERT MORRIS UNIVERSITY",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856727",
"telephone_number": "847-578-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-093250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.