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Individual

DR. EDRIC G SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-114623
IL
207X00000X
Orthopaedic Surgery Physician
56203-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036114623
IL
01
P00786161
RR MEDICARE
IL
Enumeration date
06/28/2007
Last updated
05/02/2025
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