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Individual

MICHAEL P SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1416C S RANDALL RD, RANDALL SQUAR SHOPPING CENTER, GENEVA, IL 60134-4682
(630) 208-9325
(630) 208-9326
Mailing address
1121 LAKE COOK RD, STE M, DEERFIELD, IL 60015-5234
(847) 945-4550
(847) 948-8103

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
036042528
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036042528
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036042528
IL
Enumeration date
05/17/2006
Last updated
09/16/2016
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