Vicki Anne Schultz-Gontarz, RN, MS, CPON, APN

Primary specialty

Pediatric Oncology Registered NurseTaxonomy code 163WP0218X

License

209002789 Issued in IL

Practice address

5841 S Maryland Ave
MC 4060
Chicago, IL 60637-1447

Phone

(773) 834-8115

Fax

(773) 702-9881

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1336463645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 4060",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-834-8115",
            "fax_number": "773-702-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "MC 4060",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-834-8115",
            "fax_number": "773-702-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ-GONTARZ",
        "first_name": "VICKI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, CPON, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "IL",
            "license": "209002789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Maureen Schulman, MD
• Jennifer Schulte, M.D.
• Kama Joy Schulte, M.A., L.C.P.C.
• Suzanne G. Albrecht Schulte, M.D.
• Ashley Schultejann, ATC
• Kasey Lynn Schultz-Saindon, PH.D.
• Aline S. Schultz, LCSW
• Amanda Schultz
• Andrea Beth Schultz, LCSW
• Chelsea Lynn Schultz

• Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.