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NPI Code Detail

MEDICARE: JULIA ELIZABETH SCHWARTZ

MEDICARE: JULIA ELIZABETH SCHWARTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2101YP2500XProfessional Counselor178.019895IL

General Provider Information

NPI Number : 1235695636
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ELIZABETH SCHWARTZ
Provider Business Mailing Address
First Line : 4481 ASH GROVE DR STE B
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6359
Country : US
Telephone Number : 217-525-8332
Fax Number :
Provider Business Practice Location Address
First Line : 4481 ASH GROVE DR STE B
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6359
Country : US
Telephone Number : 217-525-8332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 02/20/2024

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Directions to “ JULIA ELIZABETH SCHWARTZ ” Practice Location

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