Organization
DAVID B. SCHWARTZ DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYANN E ANDREW (OFFICE MANAGER)
(847) 677-2808
Entity
Organization
Contact information
Practice address
9933 LAWLER AVE STE 340, SKOKIE, IL 60077-3773
(847) 677-2808
Mailing address
9933 LAWLER AVE STE 340, SKOKIE, IL 60077-3773
(847) 677-2808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31888
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/03/2006
Last updated
04/08/2016
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