Individual
MAGAN M SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC, OCN
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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