MEDICARE: MOLLY SCHWARTZ, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1962586404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOLLY SCHWARTZ, INC

Provider Business Mailing Address
First Line	:	108 SKOKIE BLVD
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-3050
Country	:	US
Telephone Number	:	847-251-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 SKOKIE BLVD
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-3050
Country	:	US
Telephone Number	:	847-251-1118
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL MANAGER
Name	:	MRS. SYNDI ELLEN SALAT
Credential	:	CMF, ABC BOC
Telephone Number	:	847-251-1118

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/22/2020

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Directions to “MOLLY SCHWARTZ, INC ” Practice Location

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