Provider Demographics
NPI:1093311813
Name:SCHOLZ, AGATA A (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:AGATA
Middle Name:A
Last Name:SCHOLZ
Suffix:
Gender:
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:AGATA
Other - Middle Name:A
Other - Last Name:ZEMLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-BC
Mailing Address - Street 1:10350 HALIGUS RD STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9545
Mailing Address - Country:US
Mailing Address - Phone:815-455-6100
Mailing Address - Fax:847-802-7162
Practice Address - Street 1:10350 HALIGUS RD STE A
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9545
Practice Address - Country:US
Practice Address - Phone:815-455-6100
Practice Address - Fax:847-802-7162
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.022017363LF0000X
IL209022017363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily