MEDICARE: CLAUDIA DOROTHY SCHWAN

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	235Z00000X	Speech-Language Pathologist	146013654	IL

General Provider Information

NPI Number	:	1932635349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA DOROTHY SCHWAN

Provider Business Mailing Address
First Line	:	4006 N KILBOURN AVE APT 4
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2093
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4006 N KILBOURN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2029
Country	:	US
Telephone Number	:	773-304-8374
Fax Number	:

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

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	05/04/2017

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Directions to “ CLAUDIA DOROTHY SCHWAN ” Practice Location

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