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Individual

MR. NATHANIEL SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2202 HARLEM ROAD, SUITE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 636-6125
Mailing address
2202 HARLEM ROAD, SUITE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 636-6125

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.474201
IL
163W00000X
Registered Nurse
159298-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209.018719
IL
367500000X
Certified Registered Nurse Anesthetist
5669
WI
367500000X
Certified Registered Nurse Anesthetist
95000522
CA

Other

Enumeration date
11/26/2013
Last updated
08/22/2019
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