MEDICARE: DENISE J SCHWARTZ P.T., I.M.T., C.

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
1	225100000X	Physical Therapist	070005575	IL

General Provider Information

NPI Number	:	1417044850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE J SCHWARTZ P.T., I.M.T., C.

Provider Business Mailing Address
First Line	:	252 WOODMERE LN
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-3160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N MILWAUKEE AVE STE D
Second Line	:
City	:	WHEELING
State	:	IL
Zip	:	60090-3071
Country	:	US
Telephone Number	:	847-541-7600
Fax Number	:	630-279-1833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	12/06/2024

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