MEDICARE: MS. ROBERTA SCHWARTZ O.T.R./L

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	225XP0200X	Pediatric Occupational Therapist		IL

General Provider Information

NPI Number	:	1528254943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBERTA SCHWARTZ O.T.R./L

Provider Business Mailing Address
First Line	:	5225 OLD ORCHARD RD
Second Line	:	18
City	:	SKOKIE
State	:	IL
Zip	:	60077-4405
Country	:	US
Telephone Number	:	847-663-1020
Fax Number	:	847-663-1022

Provider Business Practice Location Address
First Line	:	5225 OLD ORCHARD RD
Second Line	:	18
City	:	SKOKIE
State	:	IL
Zip	:	60077-4405
Country	:	US
Telephone Number	:	847-663-1020
Fax Number	:	847-663-1022

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	05/31/2026

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