Provider Demographics
NPI:1891832226
Name:SCHULTZ, CHRISTOPHER R (EMT-P HS)
Entity type:Individual
Prefix:PROF
First Name:CHRISTOPHER
Middle Name:R
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:EMT-P HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13350 CALLAN DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1127
Mailing Address - Country:US
Mailing Address - Phone:708-860-7375
Mailing Address - Fax:
Practice Address - Street 1:13350 CALLAN DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-1127
Practice Address - Country:US
Practice Address - Phone:708-860-7375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic