Individual
ALLAN SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 641-5810
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 641-5810
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-003798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045612
RE-CERT #
—
01
—
209-003798
APN LICENSE #
IL
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
06/30/2006
Last updated
05/21/2021
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