MEDICARE: LIANNA SWEGLER APN-CNP

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	163W00000X	Registered Nurse	041411051	IL
2	363L00000X	Nurse Practitioner	209030025	IL

General Provider Information

NPI Number	:	1942049432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANNA SWEGLER APN-CNP

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE. SUITE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1718
Country	:	US
Telephone Number	:	847-570-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 W RAND RD STE 110
Second Line	:
City	:	ARLINGTON HTS
State	:	IL
Zip	:	60004-2315
Country	:	US
Telephone Number	:	847-618-9292
Fax Number	:

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

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	04/02/2026

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