Healthcare Provider Details

I. General information

NPI: 1801383211
Provider Name (Legal Business Name): MARLA JOY SCHWARZ APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARLA WAIBEL APRN, CNP

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 KISH HOSPITAL DR STE 103
DEKALB IL
60115-9602
US

IV. Provider business mailing address

5 KISH HOSPITAL DR STE 103
DEKALB IL
60115-9602
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0280
  • Fax: 630-315-1339
Mailing address:
  • Phone: 630-232-0280
  • Fax: 630-315-1339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.017515
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277001157
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: