Provider Demographics
NPI:1588945471
Name:SHULER, NATALIE (LAC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:SHULER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 N MARCEY ST STE 530
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5321
Mailing Address - Country:US
Mailing Address - Phone:773-270-2054
Mailing Address - Fax:
Practice Address - Street 1:1731 N MARCEY ST STE 530
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-5321
Practice Address - Country:US
Practice Address - Phone:773-270-2054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
173C00000X
IL198.000949171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No173C00000XOther Service ProvidersReflexologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL198.000949OtherBCBS, UNITED HEALTHCARE