Organization
SWAIN ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EUGENE SWAIN MD (PRESIDENT)
(312) 527-5729
Entity
Organization
Contact information
Practice address
405 N WABASH AVE, APT 4605, CHICAGO, IL 60611-3591
(312) 527-5729
(312) 527-2103
Mailing address
405 N WABASH AVE, APT 4605, CHICAGO, IL 60611-3591
(312) 527-5729
(312) 527-2103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31603356
BLUE CROSS AND BLUE SHIEL
IN
Enumeration date
10/20/2006
Last updated
08/22/2020
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