Individual
MS. MARY DIANE SCHWARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5618 S THURLOW ST, HINSDALE, IL 60521-5128
(815) 727-3607
(815) 774-3839
Mailing address
20025 DIVISION ST.., STATEVILLE NRC, CREST HILL, IL 60403-0000
(815) 727-3607
(815) 774-3839
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.000580
IL
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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