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Contact Information

TANNER SHULTZ
27W157 WALNUT DR
WINFIELD, IL60190-2051
 Phone: 630-390-8417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for TANNER SHULTZ · (Male)

NPI Number 1629551312
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2018
Last updated 09/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 26-1393224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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