1558638551 NPI number — MS. ALLISON MARIE SCHWARTZ ATC

Table of content: MS. ALLISON MARIE SCHWARTZ ATC (NPI 1558638551)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558638551 NPI number — MS. ALLISON MARIE SCHWARTZ ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
ALLISON
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ATC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558638551
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 LAKESIDE DR APT 634
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST CHARLES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60174-7913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-380-4519
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 N UPPER WACKER
Provider Second Line Business Practice Location Address:
ACCELERATED REHABILITATION CENTERS
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-640-0329
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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