Active NPI
Pauline Schultz, CRNA
- Certified Registered Nurse Anesthetist
- Flossmoor, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209003700
- Practice address
- 19624 Governors Hwy
Flossmoor, IL 60422-2077 - Phone
- (708) 798-5838
- Fax
- (708) 798-5865
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209003700 | IL | Primary |
Addresses
Primary practice location
19624 Governors Hwy
Flossmoor, IL 60422-2077
Mailing address
19624 Governors Hwy
Flossmoor, IL 60422-2077
Phone (708) 798-5838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Fox Glen CT
Barrington, IL 60010-1809
Phone (847) 382-7165
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3000
5744 N Broadway St
Chicago, IL 60660-4302
Phone (312) 335-0180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209003700 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| George N Atia, M.D., S.C. | Current | Accepting new patients |
Locations
200 Fox Gln
Barrington, IL 60010
Phone (847) 382-7165
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
5744 N Broadway St
Ste 2
Chicago, IL 60660
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
19624 Governors Hwy
Flossmoor, IL 60422
Phone (708) 752-5306
17901 Governors Hwy
Ste 106
Homewood, IL 60430
Phone (708) 799-3305
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Illinois Center for Digestive and Liver health
- Gastroenterology Physician
- Barrington, IL
- NPI 1730214271
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
- Certified Registered Nurse Anesthetist
- Flossmoor, IL
- NPI 1528260635
Nurse Anesthetist, Certified Registered
-
dba The Endo Center of Elgin Gastroenterology
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1891797312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "708-798-5838",
"fax_number": "708-798-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "708-798-5838",
"fax_number": "708-798-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "PAULINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209003700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.