Provider Demographics
NPI:1699287821
Name:SCHMIDT, KARYN (MSN, FNP, RN, BSN)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MSN, FNP, RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18461 COWING CT
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-3334
Mailing Address - Country:US
Mailing Address - Phone:708-334-0764
Mailing Address - Fax:
Practice Address - Street 1:676 N SAINT CLAIR ST STE 2210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2922
Practice Address - Country:US
Practice Address - Phone:312-926-9231
Practice Address - Fax:312-695-4430
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.016189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily