Individual
DR. MORRISA R. BRODY-SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
809 W DETWEILLER DR, SUITE 805A, PEORIA, IL 61615-2149
(309) 692-1320
(309) 692-1355
Mailing address
1813 S FALLBROOK DR, ROUND LAKE, IL 60073-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005433
—
IL
Enumeration date
01/23/2007
Last updated
07/08/2007
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