Healthcare Provider Details

I. General information

NPI: 1033473764
Provider Name (Legal Business Name): ROBERT F SCHWARTZ D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 MERCHANT DR
ALGONQUIN IL
60102-5917
US

IV. Provider business mailing address

1437 MERCHANT DR
ALGONQUIN IL
60102-5917
US

V. Phone/Fax

Practice location:
  • Phone: 847-458-1437
  • Fax:
Mailing address:
  • Phone: 312-593-5623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number019.029082
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number021.002680
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: