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Individual

MAGAN M SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ANP-BC, OCN

Contact information

Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5300
(630) 352-5499
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5300
(630) 352-5499

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.008048
IL
364SX0200X
Oncology Clinical Nurse Specialist
Primary
209008048
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147
MEDICARE PTAN (GROUP)
IL
01
206147082
MEDICARE PTAN (INDIVIDUAL)
IL
01
CA4748
RAILROAD MEDICARE PTAN (GROUP)
IL
01
P01090264
RAILROAD MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/17/2011
Last updated
11/29/2012
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