Active NPI
Michelle L Schultz, MSED, ATC
- Athletic Trainer
- South Elgin, IL
National Provider Identifier
1629279195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 96002117
- Practice address
- 760 E Main St
South Elgin, IL 60177-1702 - Phone
- (847) 289-3760
- NPI assigned
- May 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 96002117 | IL | Primary |
Addresses
Primary practice location
760 E Main St
South Elgin, IL 60177-1702
Mailing address
12 S Melrose Ave
Elgin, IL 60123-6011
Phone (847) 650-9764
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96002117 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629279195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 S MELROSE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601236011",
"telephone_number": "847-650-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 E MAIN ST",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601771702",
"telephone_number": "847-289-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSED, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "96002117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Elgin, IL
- Laura Mendoza Sanchez, REGISTERED NURSE
- Brittany Schaffer
- Stacey Lee Schayer-Nag, LCSW
- Lynne Scheiblein
- Jennifer L Schening, D.O
- Chad Alan Schusler, DNP PMHNP
- Jennifer Scribano, LSW MSW CADC QMHP
- Brittney Ann Segoviano, LCPC
- Senior Living Properties (Alderwood Healthcare Center)
- Seniorcare Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.