Provider Demographics
NPI:1386472645
Name:SCHULTZ, RACHEL ANNE (MS, LSW, CADC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MS, LSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 WOOD CREEK RD APT 302
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6726
Mailing Address - Country:US
Mailing Address - Phone:773-677-5762
Mailing Address - Fax:
Practice Address - Street 1:900 N SHORE DR STE 120
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-2225
Practice Address - Country:US
Practice Address - Phone:847-615-1698
Practice Address - Fax:847-615-1697
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL37619101YA0400X
IL150108777104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)