Search › Illinois › 103K00000X
Carissa Shoultz, RBT-17-38260
NPI 1396234894 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2602 N Saint Louis Ave # 3
Chicago, IL 60647 - Phone
- (608) 345-2474
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois